HomeMy WebLinkAbout09-26-11BUREAU OF INDIVIDUAL TAXES, ~~~ r --M,;~
INHERITANCE TAX DIVISION ~'?F~~~ i "I '~'~~ ~ ~FIHERITANCE TAX
PO BOX 280601 ~~
HARRISBURG PA ln2s-osol ~;~ i2 ,, P~?I;~ ~~'TEMENT OF
.. -,,,,J ACCOUNT
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LISA MARIE CO ~~~~s v~uRT
COYNE COYNE ~ ' '' ''' ~~~~ ~n . PA
3901 MARKET ST
CAMP HILL PA 17011-4227
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DEPARTMENT OF REVENUE
R~•1607 EX AFP (12-10)
DATE 09-12-2011
ESTATE OF FOX
DATE OF DEATH 08-28-201p SHIRLEY L
FILE NUMBER 21 10-0935
COUNTY CUMBERLANm
ACN 101
Amount Remitt d
MAKE CHECK PAYABLE AND R~MIT 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 ALONG THIS LINE PPer portion of this form
REVS 1607^ EX AF~.......^ ................... with
~" RETAIN LOWER PORTION FO your tax payment.
C12-15) ~** INHER~~° ^^^^^^^^^^ R YOUR RECORDS
AI~CE TAX S~ATEMEN'F^pF ACCOUNT^°*~ ~^^'^^^^^•..........^
ESTATE OF:FOX
THIS STATEMENT PROVIDES CURRENT SSAT RLOF THE STATED ACN•IN THE NA
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, A D'lOF 0936 ACN: 101
MED ESTATE. 'DATE: 09-12-2011
BELOW IS A SUMM RY OF THE PRINCIPAL
APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT:
PRINCIPAL TAX DUE: 07-05-2011
PAYMENTS (TAX CREDITS):
642.82
PAYMENT
DATE RECEIPT DISCOUNT (+)
NUMBER INTEREST/PEN PAID (-~
11-18-2010 AMOUNT PAID
08-25-2011 CD013672
REFUND 32.14
.00 760.00
149.32-
TOTAL 7AX PAYMENT
642.82
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
.00
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF AD TO TA L DUE
IF TOTAL DUE IS REFLECTED AS A ~ •00
'CREDIT^ (CR), DITIONAL INTEREST.
FOR INSTRUCTIONS. YOU MAY BE
DUE A REFUND. SEE REVERSE SIDE OF THISFORM