HomeMy WebLinkAbout09-14-11BUREAU OF INDIVIDUAL E~) '_' ,i=~-k~ ~ INHERITANCE TAX
INHERITANCE TAX DIVISION
HARRISBURG6PA lnza-o6o1 ~'~~' - '- .. , :~,"~ ~ ~TATEMENT OF
ACCOUNT
CLERK pF
HAMILTON C aR~~ 4 COURT
20 EAST BURT~REETf ~~ t,t7 PA
SUITE 6
SHIPPENSBURG PA 17257
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP q2-10)
DATE 09-06-2011
ESTATE OF SHUGHART JR
DATE OF DEATH 03-23-2010 DALE F
FILE NUMBER 21 10-0326
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
NOTE: To ensure proper credit to CARLISLE PA 17013
Your account, submit the upper portion of this form with
CUT ALONG THIS LINE
REV 1607 EX AFP ^^^^^^'^^^^^~^^^^R ::::::: ~WER_PORTION FOR Yn~~o or..,,.,.._ v°ur tax payment.
C12-ins ..~__ _.__
ESTATE OF:SHUGHART JR
THIS STATEMENT PROVIDES CURRENT DgTUS OF THE STATED ACN•IN2THEINAMED2EST
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, ACN: 101 DATE: 09-06-2011
ATE. BELOW IS A SUMMARY OF THE PRINCIPAL
IF APPLICABLE, A PRn.~crrrn .
--•-~ •n~GRtSI FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-31-2011
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS); 38,635.00
PAYMENT RECEIPT
DATE NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
12-22-2010 CD013816
08-12-2011 CD014849 '00 37,218.17
21.35- 1,438.18
BALANCE OF UNPAID INTEREST/PENALTY AS OF 08-13-2011 TOTAL TAX PAYMENT
38,635.00
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
5.92
TOTAL DUE
~ IF PAID AFTER THIS DATE, 5.92
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 TH
FOR INSTRUCTIONS.
IS FORM