HomeMy WebLinkAbout06-06-11r r-,
BUREAU OF INDIVIDUAL TAXES Q- ~,}i tD~:,~ ~~~~RITANCE TAX
INHERITANCE TAX DIVISION i,~~{C';H~ ~ 1~,~tQ M E N T O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601
c~ERK o~
ORPHAN'S COURT
GREGDRY S CHELA`~`~~~R~~~ C~, FA.
17 S 2ND ST
6TH FL
HARRISBURG PA 17101
Pennsylvania ~i;,~,
pEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
DATE 05-31-2011
ESTATE OF LARSEN ANN G
DATE OF DEATH 03-23-2010
FILE NUMBER 21 10-0446
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 SEX AFP ~F12 101 ~~~ ~ *** INFIERITANCE TAX STATEMEIfT~OF ACCOUNT ~ ~~* ~~~~ ~~~ ~~~ ~~~~~~~
ESTATE OF:LARSEN ANN G FILE NO.: 21 10-0446 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: 11-22-2010
PRINCIPAL TAX DUE: 42,863.00
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEM PAID (-)
06-15-2010 CD012921 2,105.26 40,000.00
09-16-2010 CD013372 .00 863.00
05-10-2011 REFUND .00 105.26-
TOTAL TAX PAYMENT 42,863.00
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 INSTRUCTIONS.