HomeMy WebLinkAbout12-19-11 (3)BUREAU OF INDIVIDUAL TAXES `~!t r ~~~- '~r~~L~RaRITANCE TAX
INHERITANCE TAX DIVISION S TA,'F ~`I~ E N T O F AC C O U N T
PO BOX 260601 _ _
HARRISBURG PA 17128-0601
' ~L i'~ r , I~'.
C~FRK ~''
ORPHA!~3'~ ~/`'~)~sT
DIANN S STION~IiJG%k~~`~ ry' ~ ~ ; `~% ~r
251 BELLE VISTA DR
MARYSVILLE PA 17053-9b41
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10>
DATE 12-05-2011
ESTATE OF HUMMELL FLORENCE A
DATE OF DEATH 04-25-2011
FILE NUMBER 21 11-1171
COUNTY CUMBERLAND
ACN 11160737
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 X1607 SEX AFP C12 ~0) ~ ~ *** INHERITANCE TAX STATEMENT~OF~ACCOUNT *** ~~~~~~~~~~~~~~~ ~~~
ESTATE OF:HUMMELL FLORENCE A FILE N0.:21 11-1171 ACN: 11160737 DATE: 12-05-2011
THIS STATEMENT PROVIDES CI~RRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF A4L PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, .A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-21-2011
PRINCIPAL 'TAX DUE:
74.91
PAYMENTS ('fAX CREDITS):
P DATENT I NUMBER IINTERESTC PEN PAID C-)I AMOUNT PAID
10-31-2011 CDb15157 ~ .00
74.91
TOTAL TAX PAYMENT I 74.91
BALANCE OF TAX DUET .00
INTEREST AND PEN. ~ .00
TOTAL DUE
* 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.
00
s