HomeMy WebLinkAbout11-07-11~`~, r~' ~ ~~EOF Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES IN~Ir R~iTANCE TAX
INHERITANCE TAX DIVISION DEPARTMENT OF REVENUE
Po Box zao6ol ` ` ' $TA7 E E1~T 0 F ACC 0 U N T REV-1607 EX AFP c12-lo>
HARRISBURG PA 17128-0601
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JERRY A WEIGLE ESQ C~J~V~~~-ryL~+~1.1 i,+.~ FA,
126 E KING ST
SHIPPENSBURG PA 17257
10-24-2011
FERGUSON HAROLD K
TH ~D1-26-2009
21 09-0115
CUMBERLAND
101
Amount Remitted
DATE
ESTATE OF
DATE OF DEA
FILE NUMBER
COUNTY
ACN
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 ALON_6 THIS LINE _ _~ RETAIN LOWER PORTION FOR YOUR RECORDS _
REV 1607 EX At~P C12 1*03 ~ ~~~°*°~{NHERI~ANCE TAX STATEMENT OFr~ACCOUNrT~ ~~ °°°~""""""°
ESTATE OF:FERGUSON HAROLD K FILE NO.: 21 09-0115 ACN:. 101
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARAYTOF THE P INC OPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-19-2011
PRINCIPAL TAX DUE:
4,294.63
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT DISCOUNT (+)
NUMBER INTEREST/PEN PAID (-)
04-14-2009 CD011113 115.79
12-07-2009 REFUND
03-04-2011
CD014082 .00
10-04-2011
CD015039 .54-
107.52-
TOTAL DUE:
AMOUNT PAID
2,200.00
10.16-
1,989.54
107.52
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
* 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 DF THIS FORM
FOR INSTRUCTIONS.
4,294.63
.00
~_
.00