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HomeMy WebLinkAbout07-29-11BUREAU OF INDIVIDUAL TAXES ~~('~ ` I ~,' ERITANCE TAX INHERITANCE TAX DIVISION ~`' ~ ~ ~a fi 1M E N T O F A C C O U N T PO BOX 280601 ~;; ~ HARRISBURG PA 17128-0601 ~- -' " -- - ~'~ . _ r J ~~i i i:.• U CLERK OF ORPHAN'S OURT MICHAEL L BANG~~~~~~~ ,+~r~r., l 1 PA 429 SOUTH 18TH REST CAMP HILL PA 17011 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 07-25-2011 ESTATE OF KOVALCIK JOSEPH A DATE OF DEATH 02-16-2010 FILE NUMBER 21 10-0573 COUNTY CUMBERLAND ACN 101 Amount Remitte d MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE 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 ~ ................................................................................................................ REV-1607 EX AFP C12-10~ ~*~ INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:KOVALCIK JOSEPH A FILE N0.:21 10-0573 ACN: 101 DATE: 07-25-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-10-2011 PRINCIPAL TAX DUE: 1,281.84 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 11-12-2010 CD013634 .00 1,281.84 06-27-2011 CD014637 .00 5,825.39 TOTAL TAX PAYMENT ~ 7,107.23 BALANCE OF TAX DUET 5,825.39CR INTEREST AND PEN. ~ .00 TOTAL DUE 5,825.39CR * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE CIF THIS FORM FOR INSTRUCTIONS. V