HomeMy WebLinkAbout12-19-11 (2)BUREAU OF INDIVIDUAL TAX1~S ~-: iZNHERITANCE TAX
INHERITANCE TAX DIVISION - S ~-T E M E N T O F A C C O U N T
PO BOX 260601 ,
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-11)
DATE 12-12-2011
ESTATE OF BROWN GILBERT S
DATE OF DEATH 08-27-2011
FILE NUMBER 21 11-1114
COUNTY CUMBERLAND
ACN 11161690
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 phis form with your tax payment.
CUT ALONG THIS LINE _ _-_-1_ RETAIN LOWER PORTION FOR YOUR RECORDS _ F- _ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP C12-11~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BROWN GILBERT S FILE NO.: 21 11-1114 ACN: 11161690 DATE: 12-12-2011
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLI',CATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-07-2011
PRINCIPAL TAX DUE: 5,763.79
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-13-2011 CD015090 279.79 5,315.97
11-15-2011 CD015212 8.40 168.03
TOTAL TAX PAYMENT I 5,772.19
BALANCE OF TAX DUET 8.40CR
INTEREST AND PEN. ~ .00
TOTAL DUE
8.40CR
* 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
FOR INSTRUCTIONS.