HomeMy WebLinkAbout12-05-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17126-0601
Pennsylvania ~
~~.~ ~ ;t DEPARTMENT OF REVENUE
!' (, ` ~'j N ~~~ ~AN C E TAX REV-1607 EX AFP C12-10)
`~ OF ACCOUNT
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CLERK ~~
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JOEL A SZAJEK
1014 SOUTHFIELDICOURT
HARRISBURG PA 17111-3025
DATE 11-21-2011
ESTATE OF SZAJEK JOSEPH P
DATE OF DEATH 01-22-2011
FILE NUMBER 21 11-0355
COUNTY CUMBERLAND
ACN 101
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 •~ __ _
REV X1607 SEX AFP C12 1~0~ ~~ ~~ *~* INHERITANCE TAX STATEMENT~OF~ACCOUMT~~**~~~~~~~~ ~ ~~~~~• ••
STATE OF•SZAJEK
JOSEPH P FILE N0.:21 11-0355 ACN: 101 DATE: 11-21-2011
E ~...,,_. ~_
THIS STATEMENT PROVIDES CU RENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A JUI'InAKT Vr in= ~
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE. A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-03-2011
847.94
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT REaEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
.00 34.16
09-19-2011 CDj014983 813.98
10-20-2011 CD015094 .00
TOTAL TAX PAYMENT
~, BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
848.14
.20CR
.00
.20CR ~
~ 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.