HomeMy WebLinkAbout06-06-11~,,_h, ni--~ r pennsylvania
~~~~G ~-' ~'~~'~ INHERITANCE TAX DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TA ,~ f~,,r• ~!4 !
INHERITANCE TAX DIVISION ~~-~~,'J~ "; ~~~ '~~~5"'~ATEMENT OF ACCOUNT REV-1607 EX AFP (12-10)
PO BOX 280601
HARRISBURG PA 17128-0601
t` y~ ~ C
;'~ i JVi~ "'C1 t ~~ ~~.~ ~ ~ DATE
05-31-2011
CLERK OF
~~'QAAR~~RRpHRRAN`S DQCOURT A
RICHARD C SN~JAK~K~`~Q
44 W MAIN ST
PO BOX 318
MECHANICSBURG PA 17055
ESTATE OF DOUGHERTY WILLIAM R
DATE OF DEATH 09-12-2010
FILE NUMBER 21 10-0985
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-1607 EX AFP C12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~**
ESTATE OF:DOUGHERTY WILLIAM R FILE NO.: 21 10-0985 ACN: 101 DATE: 05-31-2011
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 ASSESSMENT OR RECORD ADJUSTMENT: 04-18-2011
PRINCIPAL TAX DUE: 572.94
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-10-2010 CD013765 28.65 700.00
05-13-2011 REFUND .00 155.71-
TOTAL TAX PAYMENT 572.94
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.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 INSTRUCTIDNS.