HomeMy WebLinkAbout03-05-12,..~` "~-
pennsylvania ~~~_ ~
DEPARTMENT OF REVENUE
INHERITI~~'6~~ ~~~--~ ~ REV-1607 EX AFP clz-u~
BUREAU OF INDIVIDUAL TAXES t~• ~ _J ~(~ ~/'~J
INHERITANCE TAX DIVISION STATEMENT an~.~~-`~A'~. ,~,L7N;~"~ "~
PO BOX 280601 ~ !~ `.~, : ~ [ , ' 'a.;I~ I t?
HARRISBURG PA 17128-0601 `~ -`°'1
ni~,~ A~~ Oi?-27-2012
D~E JOHN H
4i;,c I"~r~ ^
~' E AfE ~~ ?~ v ENGLE
.DATE OF DEATH 08-31-2010
(~'~~j~~;'I`IUMBER 2a 11- 0884
Qt~~~'{t-ti~~~~~±~~r CIJMBERLAND
GERALD J BRINSER Cl.)~d'~=~;~~~ ~~. ~ " liDl
6 E MAIN ST Amount Remitted
PO BOX 323
PALMYRA PA 17078-0323
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 _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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REV-1607 EX AFP C12-11) **~ INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:ENGLE JOHN H FILE N0.:21 11-0884 ACN: 101 DATE: 02-27-2012
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: 01-03-2012
1,003.71
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-16-2011 CD014859 .00 1;,003.71
01-30-2012 CD015531 6.34- 6.34
TOTAL TAX PAYMENT 1,003.71
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE I .00
~ 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.