HomeMy WebLinkAbout03-19-12 (2)[['~'~[[ f~ Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES P.[LLi~'~~~t1lA~E TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1607 EX AFP C12-11)
Pa sox z8o6o1 j.~,1:~~I'~~Mf~N~,~`!I ~(~ ACCOUNT
HARRISBURG PA 17128-0681
~~;~~~^~~~'g M~'~II; ~~ DATE 03-12-2012
ESTATE OF TEZAK JR FRANK J
cL~~ Q~ DATE OF DEATH 11-16-2011
0~~~~~ ~~~~~ FILE NUMBER 21 11-1333
DIANE L MAHONEY ~UM~E~(.~:~'~;~ ~;(~, ~'Q, COUNTY CUMBERLAND
ACN 11178997
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 _ _~_ _ RETAIN LOWER PORTION FOR YOUR RECORDS _ F- _ _ _
REV-1607 EX AFP C12-11~ *** INHERITANCE TAX STATEMENT OF ACCOUNT *~~
ESTATE OF:TEZAK JR FRANK J FILE NO.: 21 11-1333 ACN: 11178997 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 PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-30-2012
PRINCIPAL TAX DUE: 110.33
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
12-11-2011 PR002114 5.52 110.33
02-11-2012 CD015590 .00 110.33
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* 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
FOR INSTRUCTIONS.
226.18
115.85CR
.00
115.85CR