HomeMy WebLinkAbout12-05-11Pennsylvania ~
~ r }~ ?~~ , -' ~ ~'~~ ~ DEPARTMENT OF REVENUE
~El INH'~iRrTANCE TAX
BUREAU OF INDIVIDUAL TAXES li ;,';~ ~, ~ REV-1607 EX AFP (12-10)
INHERITANCE TAX DIVISION l ~ S"T A7 E M E N T O F AC C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601
~;
_4'4 ~ ~~'~~ -~ ~i" ~~ ~r DATE 11-21-2011
ESTATE OF MC]:NTIRE BURTON W
GLERr:~F DATE OF DEATH 01-02-2011
QRp-,-{~(~~;cj t~}li~T FILE NUMBER 21 11-0165
-!`~ Pa CUMBERLAND
Cil'~~,~,F S! i;{,.~i ` i, ,l ; COUNTY
MCINTIRE K MALOU ACN 11:L62541
318 BEVERLY RD Amount Remitted
CAMP HILL PA 17011-2813
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 _ ~ __ _ _ _ _
REV X1607 mEX A~P C12 1~) ~~m~~ *** INHERITANCE TAX STATEMENT~OF~ACCOUNI'~ ~***~~ ~~~~ ~ ~~~ ~~ ~~~
ESTATE OF:MCINTIRE BURTON W FILE N0.:21 11-0,165 ACN: 11162541 DATE: 11-21-2011
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 ASSESSMEINT OR RECORD ADJUSTMENT: 11-07-2011
PRINCIPAL TAX DUE: 26.38
PAYMENTS CTAX CREDITSD:
PAYMENT REC IPT DISCOUNT C+) AMOUNT PAID
DATE NUM~ER INTEREST/PEN PAID (-)
10-04-2011 CDOI15031 .00 26.38
TOTAL TAX PAYMENT 26.38
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE I .00
~ IF PAID AFTER THIS DAVE, 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.