HomeMy WebLinkAbout08-16-11 (4)BUREAU OF INDIVIDUAL TAXES r f+. ~ ~~'~~HERITANCE TAX
INHERITANCE TAX DIVISION +
Po BDx z8Beo1 ~~t:;~;' _ ~ 3~.~,$EMENT OF ACCOUNT
HARRISBURG PA 17128-0601
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SHARON L SE"1'BE`R°T ~-'~'~~~' r~ , ~A
5060 CAMBRIDGE BLVD
MECHANICSBURG PA 17050
DATE
ESTATE OF
DATE OF DEA
FILE NUMBER
COUNTY
ACN
C
Pennsylvania .
DEPARTMENT OF REVENUE
REV-1607 EX AFP Q 2-10)
08-01-2011
SEIBERT EMILY E
TH 03-19-2011
21 11-0668
CUMBERLAND
11144408
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 _
REV 1l~07 EX AFP C12 10~ ~~~~ **° INHERITANCE TAX STATEMENT OF~ACCOUNT ~~~""""""""^^'^^
ESTATE OF:SEIBERT EMILY E FILE NO.: 21 11-0668 ACN: 11144408', 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:
786.26
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
07-05-2011 CD014666 .00
AMOUNT PAID
786.26
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.
786.26
.00
.00
.00