HomeMy WebLinkAbout04-09-12i ~:
f...
'- ~ '1~
BUREAU OF INDIVIDUAL raxES ~ ;~Nk,~RITANCE TAX
POHBOXT280601~ DIVISION ~ -.: - gTk~E'MENT OF ACCOUNT
HARRISBURG PA 17128-0601
CLERK OF~
C~RPr~,~~'S `~:1U~~r
~ i ~, r- I~,. a
CHARLES E SHIELDS III
6 CLOUSER RD
MECHANICSBURG PA 17055-9751
Pennsylvania 5-~ ~` ~`
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-11)
DATE 04-02-2012
ESTATE OF HOLLAND BETTY J
DATE OF DEATH 11-04-2010
FILE NUMBER 21 10-1140
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 _ f- _ _
REV-1607 EX AFP C12-11~ *** INHERITANCE TAX STATEMENT OF ACCOUNT *** --
ESTATE OF:HOLLAND BETTY J FILE NO.: 21 10-1140 ACN: 101 DATE: 04-02-2012
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: 02-21-2012
PRINCIPAL TAX DUE: 38,956.64
PAYMENTS (TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+~
INTEREST/PEN PAID (-)
AMOUNT PAID
01-19-2011 CD013916 250.00 4,750.00
09-09-2011 CD014951 .00 33,236.05
03-02-2012 CD015651 110.58- 831.88
TOTAL TAX PAYMENT 38,957.35
BALANCE OF TAX DUE .71CR
INTEREST AND PEN. .00
TOTAL DUE
.71CR
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIDNAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.