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HomeMy WebLinkAbout12-05-11 (2)~-id- BUREAU OF INDIVIDUAL TAXES ~~n' I-I•Nn~^' 'ANCE TAX INHERITANCE TAX DIVISION r~.j ; $,t~-TEM~'1~~ OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 ,'.n; ~ [9 ~C "~ fly ..y• ~` t CLEPK ~ F oRP~.°v~s, c~~ ~~T DARRELL L MCM$LLIA~~JPi;~^ 103 N MADDER DR', MECHANICSBURG PA 17050-5211 Pennsylvania ~ 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 11117575 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS ', 1 COURTHOUSE SQUARE CARLISLE PA 17013 NDTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT_ALON6_ THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS _~ _ REV 1607 EX AFP C12 1~~ ~~~~~ *** INHERITANCE TAX STATEMENT~OF~ACCOUNT~ ***~~~~~~ ~~~~~~~~~~~• • ESTATE OF:SMART III BENJAMIN H FILE N0.:21 10-1231 ACN: 11117575 DATE: 11-21-2011 TAXSDUEATAPPLICATIONDOF AL RPAYMENTS~,STHE CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPROJECTED INTEREST FIGUREINCIPAL DATE OF LAST ASSESSMEi,NT OR RECORD ADJUSTMENT: 11-07-2011 598.35 PRINCIPAL TAX DUE: PAYMENTS {TAX CREDIT51): PAYMENT DATE 09-29-2011 11-18-2011 REC~IPT NU BER CD~15017 SB DJUST DISCOUNT {+) INTEREST/PEN PAID {-) .00 .00 598.09 1.14 TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. .00 .00 TOTAL DUE I .00 ^ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. AMOUNT PAID 598.35