HomeMy WebLinkAbout08-31-11Pennsylvania ~-.
DEPARTMENT OF REVENUE
~' ~ ;. (~ldHERITANCE TAX REV-1607 Ex AFP clz-lBl -
BUREAU OF INDIVIDUAL TAXE6` g'1"A~TEMENT OF ACCOUNT
INHERITANCE TAX DIYISION ~
PO BOX 280601 ~ ~~
HARRISBURG PA 17128-0601 ~$-22_2011
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JOHN C OSZUSTrOIJ~i'CZ r
104 S HANOVER ST
CARLISLE PA 17013
DATE PATRICIA K
ESTATE OF DAVIDSON
DATE OF DEATH 01-12-2010
FILE NUMBER 21 10-0269
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS _ '~
"~~~~~~ EX AFP C12 10~ ~~~~~~*** INHERITANCE TAX STATEMENT~OF ACCOUNT ~***~~~~~• •• •••^•••
REV-1607
DATE: 08-22-2011
ESTATE OF:DAVIDSON PATRICIA K FILE N0.:21 10-0269 ACN: 101
THIS STATEMENT PROVIDES CURRENT ENTS~,STHE CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPR JECTED INTEREST FI6UREINCIPAL
TAX DUE, APPLICATION OF ALL ~AYM
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-23-2011
14,904.35
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-~
*~~ SUMMARY OF ALL 005 PAYMENTS ***
745.22 14,159.13
08-05-2011
14,904.35
TOTAL TAX PAYMENT
.00
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
TOTAL DUE ~ .00
* 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 THIS FORM
FOR INSTRUCTIONS.