HomeMy WebLinkAbout10-07-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
Pennsylvania ~
DEPARTMENT OF REVENUE
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405 KAUFFMAN ST
BOILING SPRINGS PA 17007
DATE 09-26-2011
ESTATE OF ALSBAUGH DAVID K
DATE OF DEATH 05-16-2010
FILE NUMBER 21 10-0605
COUNTY CUMBERLAND
ACN 10156023
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ __
~EV ~16U7 SEX A~P C12 10) ~~~~~ *** INHERITANCE TAX STAfEMENT~OF~ACCOUNT~~***~~~ ~~~~•••• •^•••^^
ESTATE OF:ALSBAUGH DAVID K FILE N0.:21 10-0605 ACN: 10156023 DATE: 09-26-2011
THIS STATEMENT PROVIDES ALLRPAYMENTSI.STHE CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPROJECTED INTEREST FLGUREINCIPAL
TAX DUE, A~~LICATI~N •F
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-22-2011
100.75
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
RECEIPT DISCOUNT C+) AMOUNT PAID
PAYMENT NUMBER INTEREST/PEN PAID (-)
DATE
1.62- 102.42
08-31-2011 CD014915
TOTAL TAX PAYMENT 100.80
.05CR
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
TOTAL DUE ~ .05CR
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.