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HomeMy WebLinkAbout09-14-11BUREAU OF INDIVIDUA~i~~~~ ~' ~ i { ! . INHERITANCE TAX DIVISIOjN~' ~' ~ QF INHERITANCE TAX PO BOX 280601 ~ HARRISBURG PA ln2a-0601 ~~~ _ .~l.L,~ STATEMENT OF ACCOUNT ~v CLERK JOSEPH C ~~~H~ ~ CURT 2931 N FRONT ST HARRISBURG PA 17110 pennsyLvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 08-29-2011 ESTATE OF PHILLIPS DATE OF DEATH 09-24-2010 JOHN W FILE NUMBER 21 10-1001 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 17013 Your account, submit the upper portion of this form with CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS y°ur tax REV 1 60 7 ........................^.........................................ACC .^......~ ^..^^^.....^payment. *** EX AFP C12-10) INHERITANCE TAX STATEMENT OF OUNT * * * ^•....... ESTATE OF:PHILLIPS THIS STATEMENT PROVIDES CURRENT STAOHUS OF THEM3TATED ACN•IN2 HEINAMEDO STATE TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, ACN: 101 DATE: 08-29-2011 . BELOW IS A SUMMARY OF THE PRINCIPAL IF APPLICABLE, A PROJFCTCn . _...~nw~ r1~URE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-15-2011 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DATE NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) 12-17-2010 CD013801 08-15-2011 REFUND 894.27 .00 li,s85.38 AMOUNT PAID 17,000.00 8.89- TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. 17,885.38 .00 .00 I TOTAL DUE ~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. •00 IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS F FOR INSTRUCTIONS. ORM