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HomeMy WebLinkAbout12-05-11BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 CLERK CF ORPNA~'S CC)~R,T ELIZABETH P MULLAU~I~~~~~f~{' f~~;;~'``~`~ ~A, 100 PINE ST PO BOX 1166 HBG ', PA 17108 (~ ~`°~'!. Z M~+FERrI TAN CE TAX ~.~ , ,STATE~,~NT OF ACCOUNT Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP C12-10) DATE 11-21-2011 ESTATE OF RE'SUTA CABOT L DATE OF DEATH 10-18-2005 FILE NUMBER 21 05-1078 COUNTY CUMBERLAND ACN 501 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 (12 1~0~ ~~~~ *** INAERI~'ANCE TAX STATEMENT~OF~ACCOUNT~~***~~~~~~ ~~~ ~~~~~••••• .-~.r.rr nr.RFC1ITA CABOT L FILE NO.: 21 05-1078 ACN: 501 DATE: 11-21-2011 urroe, CJ ~ n ~ ~ ... _ _ THIS STATEMENT PROVIDES C TAX DUE, APPLICATION OF A ENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMAKT Ur ins rn~~....~•-- PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-04-2011 1,848.38 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT RE(~EIPT DISCOUNT C+) AMOUNT PAID DATE NU BER INTEREST/PEN PAID C-) 03-08-2011 CD1~014107 93.45- 1,941.83 08-15-2011 CT~014855 170.65- 170.65 TOTAL TAX PAYMENT 1,848.38 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 i ', TOTAL DUE .00 ~ 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 t FDR INSTRUCTIONS. ~i