HomeMy WebLinkAbout03-19-12BUREAU OF INDIVIDUAL TAXES ~ ~~~,~~~~ TAX
INHERITANCE TAX DIVISION 'Ny~ 1~~1~F~NT"~ ~ ACCOUNT
PO BOX 260601
HARRISBURG PA 17126-0601
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-1ll
~~sr~ ~~rR 19 A~ 1!' v /.DATE 03-12-2012
ESTATE OF TEZAK JR FRANK J
C~~ QF DATE OF DEATH 11-16-2011
ORPNAN'c C~!.1R; FILE NUMBER 21 11-1333
DIANE L MAHONEY E~1P~~~ri~~-~'~'(l ~~~) . PA. COUNTY CUMBERLAND
ACN 11178995
605 VIA CHRIS CT
DEBARY FL 32713-5426 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 - - - - ~_ RE_TAIN LOWER P_ORTI_ON FOR YOUR RECORDS _ ~
REV-1607 EX AFP X12-11) *~~ INHERITANCE TAX STATEMENT OF ACCOUNT *** -
ESTATE OF:TEZAK JR FRANK J FILE NO.: 21 11-1333 ACN: 11178995 DATE: 03-12-2012
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 PRDJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-30-2012
PRINCIPAL TAX DUE: ,,. __
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
12-11-2011 PR002114 .95 19.06
02-11-2012 CD015589 .00 19.06
TOTAL TAX PAYMENT 39.07
BALANCE OF TAX DUE 20.O1CR
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.
20.O1CR
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