HomeMy WebLinkAbout07-29-11BUREAU OF INDIVIDUAL TAXES I'rr' ,'~(](•, ~• ~ ~ STANCE TAX
INHERITANCE TAX DIVISION ~`-~~ t' ~'-''~'~~ ~~ OF ACCOUNT
PO BOX 280601 iy~"~~ ~- ~
HARRISBURG PA 1 7128-0601 rl -~-%,~ ~ .. ~ ! i.. J
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CLERK ~F
MARY S MILLS ORPH~I`~~S,~OURT
LOT 529 CC1~Rr- ~I ,'i:d~_: ~~ . ~A
90 SALEM CHURCH RD
MECHANICSBURG PA 17050
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
DATE 07-25-2011
ESTATE OF SAMPSON DAISY
DATE OF DEATH 03-02-2011
FILE NUMBER 21 11-0525
COUNTY CUMBERLAND
ACN 11126210
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 ~
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REV-1607 EX AFP C12-10~ *** INHERITANCE TAX STATEMENT OF ACCOUNT **~
ESTATE OF:SAMPSON DAISY FILE N0.:21 11-0525 ACN: 11126210 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: 06-06-2011
PRINCIPAL TAX DUE: 44.33
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
04-28-2011 CD014413 2.22 44.33
06-28-2011 CD014639 .00 2.22
TDTAL TAX PAYMENT 48.77
BALANCE OF TAX DUE 4.44CR
INTEREST AND PEN. .00
TOTAL DUE
4.44CR
* 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.
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