HomeMy WebLinkAbout03-19-12};+n
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BUREAU OF INDIVIDUAL TAXES ~ ~~r''t "i''~~YI~HE~~'~~NCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~'ti'~~~+,'~."I'!~~~~~ OF ACCOUNT REV-1607 EX AFP (12-11)
PO BOX 280601
HARRISBURG PA 17128-0601
ROBERT A QUIGLEY
1553 BRIDGE ST
NEW CUMBERLAND
fir; ~ h;AR 19 A~9 11~ 5 7
CLERK QF
4R~'NAN'S SOUR r
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PA 17070-1120
DATE 03-12-2012
ESTATE OF GAUL DORIS H
DATE OF DEATH 12-03-2010
FILE NUMBER 21 10-1209
COUNTY CUMBERLAND
ACN 101
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 PORTION FOR YOUR RECORDS _ !-- _ _
REV-1607 EX AFP C12-11) **~ INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:GAUL DORIS H FILE NO.: 21 10-1209 ACN: 101 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: 01-23-2012
PRINCIPAL TAX DUE: ,.~ ..,
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
03-01-2011 CD014078 473.68 9,000.00
08-31-2011 CD014916 .00 1,780.48
02-01-2012 CD015550 1.16- 94.97
TOTAL TAX PAYMENT 11,347.97
BALANCE OF TAX DUE .lOCR
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.
.lOCR
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