HomeMy WebLinkAbout09-26-11BUREAU OF INDIVIDUAL T,~ /' fr t
INHERITANCE TAX DIVISION f'~ ~~~~I r ~ ! ~~E INHERITANCE TAX pen~~Y~Vania
PO BOX 280601 .
HARRISBURG PA 17128-0601 ~~ l." _: ! I_ "! _ µ '~ ~' .~J'ATEMENT OF DEpAN'TMENT OF REVENUE
ACC 0 U N T REV"1687 EX AFP C12-10)
DATE 09-12-201.1
ESTATE OF TENEYCK
CLERK~JF DATE OF DEATH 08-12-201b THOMAS E
ORPHAN S C~URj FILE NUMBER 21 10-0925
SUSAN H CONFp4~~~~~L 11~!~-~ ~~ PA COUNTY
2331 MARKET ~T CUMBERLAND
CAMP HILL ACN 101
PA 17011
Amount Remittejd
MAKE CHECK PAYABLE AND R4MIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
NDTE: To ensure proper credit to CARL ISL E
Your account, submit the u PA 17013
CUT ALONG THIS LINE Pper portion of this ,Form wi}h
RE1~ 1607 EX AF~~ C12 io3'••~::...R ::::N LOWER PORTION F
Your tax payment.
*** INHER~T~-N~E ~fAX......:R. ~O~R °~~ORD~.....~.~..~ ....................
STATEMEN~ OF ACCOUNT ***
ESTATE OF:TENEYCK
THIS STATEMENT PROVIDES CURRENT STA U SAOF THE STATED ACN•IN THE N
TAX DUE, 21 10-0925 ACN: 101
APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, '',DATE:
AMED ESTATE. BELOW IS 09-12-2011
IF AppLICABLE, A PROJECTEDUIN~TEREST FIGUREINCIPAL
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT:
PRINCIPAL TAX DUE: 07-11-2011
PAYMENTS (TAX CREDITS):
5,011.77
PAYMENT
DATE RECEIPT DISCOUNT (+)
NUMBER INTEREST/PEN PAID (-)
10-26-2010 AMOUNT PAID
08-25-2011 CD013555
REFUND 250.59
.00 5.130.00
368.82_
TOTAL TAX PAYMENT
5,011.77
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
.00
~ IF PAID AFTER THIS DATE, TOTAL DUE
SEE REVERSE SIDE FOR CALCULATION OF •OO
IF TOTAL DUE IS REFLECTED AS A "CREDIT' (CR),
ADDITIONAL INTEREST.
FOR INSTRUCTIONS. YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS'FORM