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HomeMy WebLinkAbout09-14-11BUREAU OF INDIVIDUAL TAX ~~{` ' {-'~' }-~ `t' (~ INHERITANCE TAX DIVISION ~~"'- t'f~~ ltrNHERITANCE TAX PO BOX 280601 ^`' "..S'~S~TEMENT OF HARRISBURG PA 17128-0601 ~`'•'~ ~ ~- - ACCOUNT 4~! ~ 1 ~L! i R ~ ~ ~~ N LI GLERlt OF STEPHEN D TIL ~RPNAN'S CQk~RT 5 SOUTH HANOVE~R~ST ~' ~-~~~i~ 4 ~;~ PA. CARLISLE PA 17013 pennsyLvania ~ DEPARTMENT OF REVENUE REV-1607 IX AFP 012-10) DATE 09-06-2011 ESTATE OF MARTIN DATE OF DEATH 03-05-2010 MAE E FILE NUMBER 21 10-0263 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 .^.^..... EX. AFP ^..^..^.....~:....R :r ::~ :................. vour tax payment. REV-107 012_10) LOWER PORTION FOR YOUR RECORDS *~~ INHERITAFfCE TAX STA*TEMENT~OF ~~~~~"""`~~ ~•..^ ................ ACCOUNT *** ESTATE OF:MARTIN 21 10-0263 ACN: 101 THIS STATEMENT PROVIDES CURRENT SrTATUS OF THE STATED ACN•IN THE NAMED ES TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, DATE: 0 9-06-2011 TATE. BELOW IS A SUMMARY OF THE PRINCIPAL IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-20-2011 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) 04-18-2011 INTEREST/PEN PAID (-) 04-18-2011 CD014327 00 08-22-2011 CD014326 REFUND • 157.85- .00 13,472.75 AMOUNT PAID 158.95 13,472.75 1.10- TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN.. 13,472.75 00 .00 TOTAL DUE I IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF (ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A '~CREDIT'~ 00 FOR INSTRUCTIONS. CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM