HomeMy WebLinkAbout12-19-11 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
ROBERT C SAIDIS
26 W HIGH ST
CARLISLE
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i , ~ , , INF{E~I~'~'ANCE TAX
~ r: ST~4TEMEN~`~ OF ACCOUNT
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Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-11)
ff rr~~ r, ~ DATE 12-12-2011
9...i '. ,Y, 17 ~ '
°~ ESTATE OF HENSCHEN HOMER E
DATE OF DEATH 08-10-2010
G~~~~ ~~ FILE NUMBER 21 10-0858
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~~~~~ ~= ~i_~'Rr COUNTY CUMBERLAND
~~at~,F;= ~ ..``.i ~u ACN 101
Amount Remitted
PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE P,A 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 t-
REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:HENSCHEN HOMER E FILE NO.: 21 10-0858 ACN: 101 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, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-07-2011
PRINCIPAL 1"AX DUE: 74,360.32
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID C-) AMOUNT PAID
10-29-2010 CD013579 3,157.89 60,000.00
05-09-201:L CD014432 .00 10,x±50.77
11-17-201:L CD015216 11.77- '764.17
TOTAL TAX PAYMENT 74,361.06
BALANCE OF TAX DUE .74CR
INTEREST AND PEN. .00
TOTAL DUE
.74CR
^ 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.