HomeMy WebLinkAbout10-07-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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GENEVIEVE K GUDZ C~}~~~-r-~~''~~~'v~J t~~? ia,~
201 CLAY AVE # 2
ENOLA PA 17025
~~ ;~~~~= , ~";~~~~~TANCE TAX
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Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-10)
DATE 10-03-2011
ESTATE OF HANZLIK ROBERT F
DATE OF DEATH 04-04-2011
FILE NUMBER 21 11-0680
COUNTY CUMBERLAND
ACN 11136373
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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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 '~ __
~~~~a7 ~EX~ A~P C12 10~ ~~ ~ *** INHERITANCE TAX STATEMEN~~OF ACCOUNT ~~***~*~ •~^••••^• •••^^•
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ESTATE OF:HANZLIK ROBERT F FILE N0.:21 11-0680 ACN: 11136373 DATE: 10-03-2011
THIS STATEMENT PROVIDES CURRENYMENTS~,STHE CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPROJECTED INTEREST FIGUREINCIPAL
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DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-26-2011 105.22
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
INTEREST/PEN PAID C-)
DATE NUMBER
06-14-2011 CD014581 .26
.00
07-22-2011 CD014767 ,00
08-26-2011 CD014903
PAYMENT MUST BE MADE BY 01-05-2012*.
AMOUNT PAID
5.00
5.00
5.00
15.26
TOTAL TAX PAYMENT
89.96
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
TOTAL DUE ~ 89.96
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.