HomeMy WebLinkAbout08-16-11 (5)BUREAU OF INDIVIDUAL r ~ ~ i ; r , Pennsylvania ~
INHERITANCE TAX DIVISION ' ~-` `.. ~'~~~ O I NHER I TANCE TAX DEPARTMENT OF REVENUE
Po Box 2BB6o1 ~~ "~~ r - ,,,-~{ ~ ~~TATEMENT OF ACCOUNT REV-1607 Ex AFP az-lo)
HARRISBURG PA 17126-0601 ~ `-~<< ~ _:.'J
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DATE
ESTATE OF
DATE OF DEA
FILE NUMBER
COUNTY
ACN
C
08-01-2011
SEIBERT EMILY E
TH 03-19-2011
21 11-0668
CUMBERLAND
11144409
Amount Remitted
CLERK n~
SHARON ~RPN`~~~v COURT
5060 CAMBRIDG~VD ~~.p~'
MECHANICSBURG PA 17050
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 1607 EX A~P C12 10) ~~~~~°*° INFIEFt~ITA1~TCE TAX STATEMEN'F~OF ~ACCOUN~~~~~ ~~~~"""""""'~•
ESTATE OF:SEIBERT EMILY E FILE NO.: 21 11-0668 _
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE C BELOWIIS A4 ~ ~M DAVE HE P INCI~PAL
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:
11.25
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
07-05-2011 CD014665
.00 11.25
TOTAL TAX PAYMENT 11.25
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
~ 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.