HomeMy WebLinkAbout03-26-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
1 I't~HE.RI~~1 ~E TAX
'~r~~ ~i~Frt.,.. o~r A C C O U N T
Pennsylvania ~~`~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-11)
DATE 03-19-2012
.~,1".S'~+~(i ^+r j~;` `}'ESTATE OF DORMAN MAX
DATE OF DEATH 01-22-2012
FILE NUMBER 21 12-0184
C-~~`~ '~ COUNTY CUMBERLAND
ALEXIS WARREN QRPE-t'„~,~'~;1~, (;~~„~.~
ACN 12108168
1397 LOWTHER RD I , ~r~<~t'+,",''~ ~„J., F~fa•
G'~~'; Amount Remitted
CAMP HILL PA 17011-7535
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 _ ~ _ _ _ _
REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:DORMAN MAX FILE NO.: 21 12-0184 ACN: 12108168 DATE: 03-19-2012
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: 03 0502012
PRINCIPAL TAX DUE: 4.97
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-09-2012 CD015576 .25 4.72
TOTAL TAX PAYMENT 4.97
BALANCE OF TAX DUE .00
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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