HomeMy WebLinkAbout10-07-11BUREAU OF INDIVIDUAL TAXES ~~ ~ ' Qn ns
INHERITANCE 7AX DIVISION '~`i P ylvania
PO BOX 280601 r4+'.~.~HERiTANCE TAX ~
HARRISBURG PA 1 7120-0601 STATEMENT QF DEPARTMENT OF REVENUE
ACCOUNT RIX-1607 EX AFP (12-10)
CLERK OF
oRp~a~~~ oo«Rr
STANLEY J A LASK~O~WSKI, ~~~~ ~t~,~ PA
3631 N FRONT ST
HBG PA 17110
DATE 10-03-2011
ESTATE OF MITTLESDORF GERTRUDE
DATE OF DEATH 02-13-2010
FILE NUMBER 21 10-0242
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
your account, submit the u 17013
CUT ALONG THIS LINE PPer portion of this form with
htEV~ 1 6a 7 EX qFP .............^.^...^.....^..^.........^..^ .......------- your tax payment.
RETAIN LOWER PORTION FOR YOUR RECORDS ~rir
C12-10) *** INHERITAwre r... ..s__
STATE OF:MITTLESDORF
THIS STATEMENT PROVIDES CURRENT SGA R SRO DE HE STATED ACN IN THE NAMED
TAX. DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANOCE, A D 10-024 2
ACN: 101 DATE: 10-03-2011
ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT:
04-29-2011
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS): 20,588.31
PAYMENT
DATE RECEIPT
NUMBER
DISCOUNT (+)
05-26-2010 INTEREST/PEN PAID (-) AMOUNT PAID
11-30-2010 CD012797
04-29-2011 CD013717 .00
00
16,700.00
09-23-2011 CD014390
CD014996 '
13.58- 3,009.39
5.26- 892.50
5.26
TOTAL TAX PAYMENT
20,588.31
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
.00
I TOTAL DUE I
IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF L-
IF TOTAL DUE IS REFLECTED AS A ~~ uU
CREDIT'S CCR), YOU MAY BE DUE ADDITIONAL INTEREST.
FOR INSTRUCTIONS.
REFUND. SEE REVERSE SIDE OF THIS FORM