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HomeMy WebLinkAbout12-19-11 (2)BUREAU OF INDIVIDUAL TAXES `-;I'~ ~ _ `sS_;~I~'~ERITANCE TAX INHERITANCE TAX DIVISION S TATc~ M E N T O F A C C O U N T PO BOX 280601 ,''~ ~ .; ,J HARRISBURG PA 17128-0601 CLE~s~ CF o~~~a~ 4 _. ~,.,:..R~ DIANN STQ~~QAq~ , ',I-'~ ~~„~`i Pr. 251 BELLE VISTA DR MARYSVILLE PA 17053-9641 pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 12-05-2011 ESTATE OF HUMMELL FLORENCE A DATE OF DEATH 04-25-2011 FILE NUMBER 21 11-1171 COUNTY CUMBERLAND ACN 11160738 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure propeh 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 X1607 SEX AFP C12 1fi0~ ~~~~~ *** INHERITANCE TAX STATEMENT~OF~ACCOUFJT~~***~~~~~~ ~~~~~~~ ~~~~~~ ESTATE OF:HUMMELL FLORENCE A FILE NO.: 21 11-1171 ACN» 11160738 DATE: 12-05-2011 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: 11-21-2011 PRINCIPAL TAX DUE: 6.53 PAYMENTS CTAX CREDITS): P DATE T I NUMBER (INTEREST/PENT PAID (-)I AMOUNT PAID 10-31-20111 CD015157 I .00 6.53 TOTAL TAX PAYMENT I 6.53 BALANCE OF TAX DUET .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" CCR), YOU MAY BE DUE A REFUND. SEE kEVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. .~y.~ i