HomeMy WebLinkAbout04-09-12BUREAU OF INDIVIDUAL TAXES~~k L~~~' ~ r f ~' ~~i Iy`'~~ ~ ERITANCE TAX
INHERITANCE TAX DIVISION ~~ L S ~I ~E M E N T O F A C C O U N T
PO BOX 260601 ~
HARRISBURG PA 17128-06D1
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2331 MARKET ST
CAMP HILL PA 17011-4642
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-11)
DATE 04-02-2012
ESTATE OF SHELLY ELIZABETH R
DATE OF DEATH 02-20-2011
FILE NUMBER 21 11-0302
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 P_ORTI_ON FOR YOUR RECORDS _~ _
REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SHELLY ELIZABETH R FILE NO.: 21 11-0302 ACN: 101 DATE: 04-o~-~nl~
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: 02-13-2012
PRINCIPAL TAX DUE: 192.76
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
05-20-2011 CD014494 4.83 91.69
08-30-2011 CD014930 .00 10.96
02-27-2012 CD015637 .00 65.74
02-27-2012 CD015638 .69- 20.29
TOTAL TAX PAYMENT 192.82
BALANCE OF TAX DUE .06CR
INTEREST AND PEN. .00
TOTAL DUE
.06CR
* 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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