HomeMy WebLinkAbout12-05-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
evil ~Siµ~I~~R~`L~NCE TAX
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6010 WERTZVILLE'RD
ENOLA PA 17025-1159
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-10)
DATE 11••21-2011
ESTATE OF SMART III BENJAMIN H
DATE OF DEATH 12•-11-2010
FILE NUMBER 21 10-1231
COUNTY CUMBERLAND
ACN 11117574
Amount Remitted
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 -'~ _ _ __ _
R VY607~EX AFP (12 1~~ ~ ~~ *** INHERITANCE T~1X STATEMENT~OF ACCOUNT~~***~ ~~~~ ~~ ~~~~~~~~
ESTATE OF:SMART III BENJAMIN H FILE N0.:21 10-1231 ACN: 11117574 DATE: 11-21-2011
TAXSDUE/,TAPPLICATOIONDOF AL4RPAYMENTS~,STHE CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPROJECTED INTEREST FIGUREINCIPAL
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-07-2011
179.50
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT NU BER INTEREST/PEN PAID C-)
DATE
09-29-2011 CD~15017 .26-
AMOUNT PAID
179.76
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
.00
.00
', TOTAL DUE I .00
~ IF PAID AFTER THIS D/~,TE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLgCTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
179.50