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HomeMy WebLinkAbout06-06-11_~' ~ _ __ Pennsylvania ~ , ~E P -, ~~~~ ~ ~ S D , INHERITANCE TAX DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) N tf,/siL~~-• ~ D VI TANCE TAX BNHERI STATEMENT OF ACCOUNT Po BDX zaocol [ ~ : -~~ , ,r~ ; ~ C~~iJ~ ~ ~ ~f 1 U r I..t_J HARRISBURG PA 17128-06 1 DATE 05-31-2011 [ G LC~ I ~~~ `6 1 ~' I~~ ~ J ESTATE OF ORRIS ANNA M ~.ERK OF JOSHUA 0~ ~~T 2574 RALE~IG~~~~~~I - -~, ~i~ HUMMELSTOWN PA 17036 DATE OF DEATH 01-23-2010 FILE NUMBER 21 11-0127 COUNTY CUMBERLAND ACN 10130403 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 SEX AFP C12 101 ~~~~~ *** INHERITANCE TAX STATEMENT~OF~ACCOUNT~~*** ~~ ~~ ~ ~~ ~~ ~~~ ESTATE OF:ORRIS ANNA M FILE N0.:21 11-0127 ACN: 10130403 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: 29.56 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 05-04-2011 CD014414 .52- 30.08 TOTAL TAX PAYMENT 29.56 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.