HomeMy WebLinkAbout09-26-11BUREAU OF INDIVIDUAL TAXES ~~r~~L 5~. ~e~ r
INHERITANCE TAX DIVISION s'' ~ ~ ~_~ r~~{ ~ Pennsylvania
PO BOX 280601 ~,F ! TANCE TAX ~
HARRISBURG PA 17128-0601 ' "'~`' ~TA-TEM '~ OF DEPARTMENT OF REVENUE
ACCOUNT REV-1607 Ex AFP c12-log
~~ i f ~ ~ V 4.1 ~. V ~ ~~1 ~ ~ . ~ I~~
~~E~~ ~~
WILLIAM ~~P~~S v~~~~~
M SHEPPARDCtt~ ,-~~_~~al~' ;;^ PA,
320 SHERMAN AVE 4r~
CARLISLE
PA 17013
DATE 09-12-
ESTATE OF 2011
DORIS J
DATE OF DEATH 10E22ARD
FILE NUMBER 21 2010
COUNTY 10-1173
CUMBERLAND
ACN 10164584
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
NOTE: To ensure proper credit to CARL ISL E
your account, submit the u PA 17013
CUT ALONE THIS LINE PPer portion cf
I~EV~ 1607 EX A€~^^.^.........~:^.^.R ::A:::.^.^.^......^.^...........^ ..^ this form wdth
C12-10) LOWER PORTION F your tax payment.
~*~ INHERITANCE OR YOUR RECORDS 1
TAX S~fq{EMENT OF! ACCOUNT^O*~?""^^^^^...........^
ESTATE OF:SHEPPARD
THIS STATEMENT PROVIDES CURRENT SDOR SSOF J FIL E
Tax DUE, NO" 21 10-1173
APPLICATION OF ALL PAYMENTS, THE STATED ACN IN THE NAMED ACN: 10164584 DATE: 09-
ESTATE. BELOW IS A SUMIMARY OF
THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED I',NTEREST FIGURE.-2011
THE PRINCIPAL
DATE OF LAST ASSESSMENT OR
RECORD ADJUSTMENT: 07-25_2011
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
106.39
PAYMENT
DATE RECEIPT DISCOUNT (+)
NUMBER INTEREST/PEN PAID (_) AMOUNT PAID
08-08-2011 CD014828
.15-
106.56
TOTAL TAX PAYMENT
106.41
BALANCE OF TAX DUE
.02CR
INTEREST AND PEN.
.00
* IF PAID TOTAL DUE
AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF
IF TOTAL DUE IS REFLECTED AS A ~ ADDITIONAL INTEREST. •02CR
FOR INSTRUCTIONS. 'CREDIT'S (CRS, ypU MAY BE DUE A
REFUND. SEE REVERSE SIDE OF THI$ FORM