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HomeMy WebLinkAbout02-24-12BUREAU OF INDIVIDUAL TAXE~i~~~r'~ ~~'~ ~ Ei C ~lHERITANCE TAX INHERITANCE TAX DIVISION }, ~Ar+T E M E N T O F A C C O U N T PO BDX 280601 ~[ t c; L ~- HARRISBURG PA 17128-0601 ~ ;Lt-~ ~'''- -~ ~" '~ ''~ I ~ ~'EB 2+~ PFD 2~ 3 CLERK Q±= GENEVIEVE K G~~R~i~~~:~~Q~fl ~~ R~ Rl ~~:~.: ~~.~ . 201 CLAY AVE # 2 ENOLA PA 17025 Pennsylvania ~;: ~ " DEPARTMENT OF REVENUE REV-1607 EX AFP (12-111 DATE 02-13-2012 ESTATE OF HANZLIK ROBERT F DATE OF DEATH 04-04-2011 FILE NUMBER 21 11-0680 COUNTY CUMBERLAND ACN 11136373 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 E- --------------------------------------------------------------------------- REY-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:HANZLIK ROBERT F FILE NO.: 21 11-0680 ACN: 11136373 DATE: 02-13-2012 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: 01-06-2012 PRINCIPAL TAX DUE: 105.22 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 06-14-2011 CD014581 .26 5.00 07-22-2011 CD014767 .00 5.00 08-26-2011 CD014903 .00 5.00 01-25-2012 CD015514 .00 5.00 INTEREST IS CHARGED THROUGH 02-28-2012 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* TOTAL TAX PAYMENT 20.26 BALANCE OF TAX DUE 84.96 INTEREST AND PEN. .39 TOTAL DUE I 85.35 * 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 FDR INSTRUCTIONS.