HomeMy WebLinkAbout09-26-11BUREAU OF INDIVIDUAL T ~i1~' {~~^
INHERITANCE 7AX DIVISION _~ ~' ' ~ ~`~~ ~ perms
PO BOX 260601 a , I NHER I TANCE TAX Ylvania ~
WIRRISBURG PA 1 71 28-0 601 ~`~'' -~~ ~ ~.~ATEMENT OF DEPARTMENT OF REVENUE
ACC 0 U N T REV-160P Ex AFp (12.10)
CLER+~ 0~
THERESA ~~i;~H~'~ ~ C~Ut~~T
A ~~I A' 1. i ^~~ , PA,
306 N 17TH ST
CAMP HILL
PA 17011
DATE 09-12-
ESTATE OF 2011
DATE OF MANLEY
DEATH 03-1g_ DAVID L
FILE NUMBER 2U7U
COUNTY 21 10-0314
CUMBERLANID
ACN 10145041
Amount Remit ed
MAKE CHECK PAYABLE AND
~dEMIT PAYMENT T0;
REGISTER OF WILLS
NOTE: 1 COURTHOUSE SQUARE ',
To ensure proper credit to CARL ISL E
CUT ALONG your account, PA 17013
THIS submit the upper portion of
REVS 1~"O~j°••••• LINE ~i•. RETAIN this form wjith
EX ASP (12 103~~•••••••~~~~.... ~OM1ER PORTION FOR YOUR your tax
*** INHEF}~I~AIfCE payment.
......,~,aX~ ST~TEMEN7t....R.::~RD~ ....~..r ..................
ESTATE OF ACCOUN~ ***T
OF:MANLEY
THIS STATEMENT PROVIDES CURRENT SDTgTUSDOF THE L FIL E
TAX DUE, NO' ~ 21 1D-0314
APPLICATION OF ALL pgyMENTS, STATED ACN IN THE ACN; 10145041
THE CURRENT BALANCE, AND, NAMED ESTATE. DATE; 09-12-2011
IF APPLICABLE, BA LOW IS A SUM ARTY OF THE PRINCIPAL
PROJECTED IINTEREST FIGURE.
DATE OF LAST ASSESSMENT OR
RECORD ADJUSTMENT: 07-05-2011
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
49.59
PAYMENT
DATE RECEIPT DISCOUNT (+)
NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
08-23-2011
09-09_ CD014884
2011 SBADJUST •88-
.00 50.47
.14
TOTAL TAX PAYMENT
49.59
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
.00
* IF PAID AFTER THIS DATE, SEE TOTAL DUE
IF TOTAL DUE IS REVERSE SIDE FOR CALCULATION OF •00
REFLECTED AS A "CREDIT~~ CCR), ADDITIONAL INTEREST.
FOR INSTRUCTIONS. YOU MAY BE
DUE A REFUND. SEE REVERSE SIDE OF THIS' FORM
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