HomeMy WebLinkAbout10-07-11BUREAU OF INDIVIDUAL TAXES r'~~~~iR ~' ~ ; t ~-
INHERITANCE lax DIVISION ~y; ~`'~r4~E R I TA N C E TAX
Po BOX 280601 ~~-.<.~ ` ~MENT OF
HARRISBURG PA 17128-0601 S T~" ' A C C O U N T
rr~ ~ ~~~ ~~ ~~ ~~ ~;
CLERK OF
ORPHAN'S COURt
ROBERT H MCCULL~~~~.~~"~i7 i.~. ~Q
23 SOUTH 29TH ST
CAMP HILL PA 17011
pennsy(vania
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-10)
DATE 10-03-2011
ESTATE OF MCCULLOUGH
DATE OF DEATH 03-08-2011 JIMMIE L
FILE NUMBER 21 11-0607
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
REV 1663 EX ~` RETAIN LOWER PORTION FOR Ynno o~w....__ your tax payment.
.....AFP C12 ioY~ .........................
---~ -
ESTATE OF:MCCULLOUGH
THIS STATEMENT PROVIDES CURRENT STATUSIOF THE STATED ACN•IN2 HEINAMEDOEST
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, ACM: 101 DATE: 10-03-
ATE. BELOW IS A SUMMARY OF 2011
IF APPLICARi c. ~.._ .___ THE PRrurrn..
-•- .n,erctST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-29-2011
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT
DATE NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
05-23-2011 CD014500
09-12-2011 CD014957 1,237.76
.00
c`+,tsCS.85
AMOUNT PAID
23,517.37
68.72
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
24,823.85
.00
.00
TOTAL DUE I
IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A ~~ „ 00
FOR INSTRUCTIONS.
CREDIT CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM