HomeMy WebLinkAbout05-20-11BUREAU OF INDIVIDUAL TAXES penn~VlVa~~(~ '-r-
INHERITANCE TAX DIVISION I N H E R I TA N C E TAX J ,
PO BOX 2B0001 STATEMENT QF DEPARTMENT OF REVENUE
HARRISBURG PA 17128-0601 ACC 0 U N T
REV-1607 EX AFP (12-10) - -
C A SHEEHAN
206 S WEST ST
CARLISLE PA 17013
DATE 05-09-2011
ESTATE OF SHEEHAN
DATE OF DEATH 11-27-2010 CHARLOTTE A
FILE NUMBER 21 11-0484
COUNTY CUMBERLAND
ACN 11118813
.Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
NOTE: To ensure proper credit to CARLISLE PA 17013
Your account, submit the u
CUT ALONG THIS LINE PPer portion oP this form with
REV 1607 .....................~.....R::'4IN..........~..........------- your tax payment.
EX AFP C12-10) LOWER PORTION FOR YOUR RE(:ORDS ~
*** INHERrrwur~~
ESTATE OF:SHEEHAN CHARLOTTE A FILE NO.:
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN2THEINAMEDB STATE.
TAX DUE, APPLICATION DF ALL PAYMENTS, THE CURRENT BALANCE, ACN': 11118813 DATE: 05-09-
BELOW IS A SUMMARY OF THE PRINC PAL
AND, IF APPLICABLE, A PRO.icrrr„ ...____
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT:
05-02-2011
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
04-15-2011 CD014313
.00
DISCOUNT ((+)~
INTEREST/PEN PAID (-7
.00
AMOUNT PAID
31.04
TOTAL TAX PAYINENT
BALANCE OF TAX DUE
INTEREST AND PEN.
31.04
31 . C40 R
. 0
TOTAL DUE I
31 04CR
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF
FOR INSTRUCTIONS.
THIS FORM
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