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HomeMy WebLinkAbout08-16-11~. BUREAU OF INDIVIDUAL TAXES ~~ r ~' ~'' ~./~~ERITANCE TAX INHERITANCE TAX DIVISION ~. Po Box zea6ol ' ~.. %S~'MENT OF ACCOUNT HARRISBURG PA 17128-0601 ~ .n ~ ~.^. ~ ,. , rLERK CF RAYMOND SEILERC~~~~=~~ ~'~`~ ~ ~~'~., PA 704 S BROAD ST MECHANICSBURG PA 17055 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP C12-10) DATE 08-08-2011 ESTATE OF SEILER RAGELINE DATE OF DEATH 09-13-2010 FILE NUMBER 21 10-0969 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 F~E1f=1607 EX A~P C12 10) ~ ~~~ **~ INHERITANCE TAX STA1lEMEt~T OF ACCOUNT ~~~ ~~~~~~~~~~~""""" ESTATE OF:SEILER RAGELINE FILE NO.: 21 10-0969 ACN: 101 DATE: 08-08-2011 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: 06-27-2011 PRINCIPAL TAX DUE: S.r PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 12-10-2010 CD013767 253.81 5,700.00 07-19-2011 REFUND .00 877.63- TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 5,076.18 .00 .00 .00 * 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 OF THIS FORM FOR INSTRUCTIONS.