HomeMy WebLinkAbout05-20-11BUREAU OF INDIVIDUAL TAXES p`~ I~Sy~Van~a ~~^., ~,
INHERITANCE TAX DIVISION I M H E R I TA N C E TAX
PO BOX 280601 STATEMENT OF DEPARTMENT OF REVENUE
HARRISBURG PA I n zB-o6BI ACC 0 U N T REV-1607 EX AFP (12-10)
DATE 05-09-2011
ESTATE OF BROWN
DATE OF DEATH 09-03-2010 DEBORHA M
- FILE NUMBER 21 11-0412
NEFERTI'fI T MURRAY COUNTY
1609 E HILLSIDE VLG CUMBERLAND
ACN 11109032
HARRISBURG PA 17103
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
NOTE: To ensure proper credit
CUT ALONG THIS LINE
REV 1607 .....................~:.~
EX AFP C12-10)
REGISTER OF' WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
to your account, submit the upper portion of this form with your tax payment.
RETAIN LOWER PORTION FOR YOUR RECCIRDS
*** INHERITANCE TAX STATEMENT^OF ^ACCOUNT ^*~ ^^^^^^^^^^^^^^^^.....
ESTATE OF:BROWN
THIS STATEMENT PROVrnrc ~„nn~„_ DEBORHA M FILE NO.: 21 11-0419 wru_
inx DUE, -"'""' ""'es OF THE STATED ACN IN THE NAMED •++u~uJC DATE: 05-09-2011
APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF AppLICABLE,
ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
A PROJErrFn 7\~Trn~..~
-^~~n~oi r1~URE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-22-2011
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS): 15.74
PAYMENT RECEIPT
DATE NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
04-13-2011 CD014302
.00 15.74
TOTAL TAX PAYMENT
15.74
BALANCE OF TAX DUE
.00
INTEREST AND PEN,
.00
TOTAL DUE
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. •O 0
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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