HomeMy WebLinkAbout09-14-11BUREAU OF INDIVIDUAL TAXES ..~C t ~l ~i.,! ~ ~;"; ~;
INHERITANCE 7AX DIVISION -' r~t~~$~RITANCE TAX
PO BOX 280601 n
HARRISBURG PA 17126-0601 ~t~' ~_ '` STA~iB~IENT OF ACCOUNT
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SUSAN J HARTMAN 4R~j~f~ ~Q~~~fi
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CARLISLE PA 17013
pennsy~vania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-10)
DATE 09-06-2011
ESTATE OF BLACKMAN
DATE OF DEATH 12-29-2010 VIRGINIA H
FILE NUMBER 21 11-0081
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
NOTE: To ensure proper credit to CARLISLE pA
your account, submit the u 17013
CUT ALONG THIS LINE Pper portion of this form with
RETAIN LOWER PORTION FOR payment.
REV 160 7 EX AFP ..................^...^..^........................^..^....^........~ vour tax
C12-10) *** INHERITANCE TAX YOUR RECORDS
STA{EMENT OF ACCOUNT * *°""'^~~~~•..........
ESTATE OF:BLACKMAN
THIS STATEMENT PROVIDES CURRENT S1TATRUSIOF ATHE STATED ACN•IN2 HEINAMED~1
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, ACN: 101 DATE: 09-
ESTATE. BELOW IS A SUMMARY OF THE PR~ NC PAL
IF APPLICABLE, q PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-11-2011
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS): 81,811.12
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN
03-25-2011
CD014198 PAID (-) AMOUNT PAID
05-17-2011
08-22-2011 CD014477 4'078.95
77,500.00
REFUND '00 234.62
.00
2.45-
TOTAL TAX PAYMENT
81,811.12
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
.00
L TOTAL DUE I
IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION DF
IF TOTAL DUE IS 00
REFLECTED AS A '~CREDIT'~ ADDITIONAL INTEREST.
FOR INSTRUCTIONS. CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM