HomeMy WebLinkAbout08-16-11 (2)BUREAU OF INDIVIDUAL TAXES ~~{ F,~ (Q~}(~'`
INHERITANCE TAX DIVISION ~"f~' ,;.` _~~~(:"ERITANCE TAX
Po Box zso6ol "'Srt`~-~MENT OF ACCOUNT
HARRISBURG PA 17128-0601
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CLERK OF'
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SHARON L SEIBERT
5060 CAMBRIDGE BLVD
MECHANICSBURG PA 17050
DATE
ESTATE OF
DATE OF DEA
FILE NUMBER
COUNTY
ACN
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
08-01-2011
SEIBERT EMILY E
TH 03-19-2011
21 11-0668
CUMBERLAND
11144407
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 __
REV X1607 EX AFP C12 10) ^^^^^°*° INFIERITA~ICE TAX STATEMENT^OF ^ACCOUNT ~ ^^^^^^^^^^^^^^^^'^^^^
ESTATE OF:SEIBERT EMILY E FILE NO.: 21 11-0668 ACN: 11144407 DATE: 08-01-2011
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: 07-25-2011
PRINCIPAL TAX DUE:
2.86
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT
DATE NUMBER
07-05-2011 CD014667
07-25-2011 SBADJUST
AMOUNT PAID
2.86
2.86
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* 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.
DISCOUNT (+)
INTEREST/PEN PAID C-)
.00
.00
5.72
2.86CR
.00
2.86CR
}