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HomeMy WebLinkAbout06-06-11BUREAU OF INDIVIDUAL TAXESy.. //'''~~~^((~r~'.pr- ERITANCE TAX INHERITANCE TAX DIVISION ~YJI ~V ,,~.-„ ~ rC~ Po Box zsocBl {'}'[ „~~, ~,. ~~ MENT OF ACCOUNT HARRISBURG PA 17128-0601 ('L~<,U v, ~ .f~~ ~ ; ~~ ~„~ CLERK OF ELIZABETH FI _ ,S COURT L15 KEMPSEN ST~ ~RLAJU~ ~~' ~A NEWPORT RI 02840 Pennsylvania ~~ ~ ~ _; DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 05-23-2011 ESTATE OF FIELDS GLADYS J DATE OF DEATH 04-10-2010 FILE NUMBER 21 10-0430 COUNTY CUMBERLAND ACN 10500848 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:FIELDS GLADYS J FILE NO.: 21 10-0430 ACN: 10500848 DATE: 05-23-2011 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: 04-04-2011 PRINCIPAL TAX DUE: 44.40 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-15-2011 CD014315 .35- 44.76 TOTAL TAX PAYMENT 44.41 BALANCE OF TAX DUE .O1CR INTEREST AND PEN. .00 TOTAL DUE * 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. .O1CR /i