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HomeMy WebLinkAbout11-23-11BUREAU OF INDIVIDUAL TAXE~r~ ! ~ ,^ 11'NHERITANCE TAX PoHeo Tzao6Bi~ Drv1S1oN S T'~'f E M E N T O F A C C O U N T HARRISBURG PA 17128-0601 i ~ ~ , ( - -„ ~; HUBERT X GILRC~Y);~,; ~ `d~'+-r,~, 10 E HIGH ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN Pennsylvania ~ ~-' DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) :L1-14-2011 f=LATLEY ANN G ]10-08-2010 21 10-1032 CUMBERLAND ].O1 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF' WILLS 1 COURTHOUSE SQUARE CARLISLE F'A 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 ~ REV X1607 SEX AFP C12 ~f0~ ~~ ~ *** INHERITANCE TAX STATEMENT~OF~ACCOUNT ~~**~~~~~~~~~~~~~~~~~~~~~' ESTATE OF:FLATLEY ANN G FILE NO.: 21 10-1032 ACN: 101 DATE: 11-14-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, ,A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-11-2011 PRINCIPAL TAX DUE: 41,069.96 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 01-08-2011 CD013877 1,947.37 37,000.00 07-06-2011 CD014671 .00 2,:L22.65 TOTAL TAX PAYMENT 41,070.02 BALANCE OF T'AX DUE .06CR INTEREST AND PEN. .00 TOTAL DIIE ^ 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. .06CR