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HomeMy WebLinkAbout11-23-11~~ ~ ^C: ~HERITANCE TAX BUREAU OF INDIVIDUAL TAXES -i S~`~{\`~EMENT OF ACCOUNT INHERITANCE TAX DIVISION ' PO BOX 280601 Pennsylvania ~~~i ~~ DEPARTMENT OF REVENUE REY-1607 EX AFP (12-10) HARRISBURG PA 17128-0601 11 •• 14 - 2 011 _ „- - ~,, KARL E ROMI NGE~ '~ ~ ~` 155 S HANOVER ST CARLISLE PA 17013 DATE LESLIE J ESTATE OF BYE.RS DATE OF DEATH 07-03-2010 FILE NUMBER 21 10-0755 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE: SQUARE CARLISLE PA 17013 NOTE: 7o 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 ~ ......6 ........................................................................................................ 07 EX AFP C12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** REV-1 DATE: 11-14-2011 ESTATE OF:BYERS LESLIE J FILE N0.:21 10-0755 ACN: 101 THIS STATEMENT PROVIDES CURRPAYMENTS~,STHE CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPRGJECTED INTEREST FIGUREINCIPAL TAX DUE, APPLICATION OF ALL DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-26-2011 2,117.09 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) INTEREST/PEN PAID C-) DATE NUMBER 06-20-2011 CD014609 .00 13.54- 10-19-2011 CD015083 AMOUNT- PAID 2,117.09 13.54 TOTAL TAX PAYMENT 2,117.09 ~- . 0 0 BALANCE OF TAX DUE --- .00 INTEREST AND PEN. TOTAL DUE ~ .00 * 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.