HomeMy WebLinkAbout05-04-12~; r;v~~ ~
F}~~ Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES{',
`
~
' +i I NHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~
;~
_
~:_.,
PO BOX 260601
~ 'ST`A'TEMENT OF ACCOUNT REY-1607 EX AFP (12-11)
HARRISBURG PA 17128-0601
j,~ y p
CLERK ~~
QRPHAI'd'S ~,'Ol_!RT
CU~~~~?~~I ~.r~~ ,~ . PA
JACK COULSON
616 HIGHLAND AVE
CARLISLE PA 17013-4107
DATE 04-30-2012
ESTATE OF COULSON GEORGETTA J
DATE OF DEATH 03-19-2012
FILE NUMBER 21 12-0393
COUNTY CUMBERLAND
ACN 12122518
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 _ ~--~
REV-1607 EX AFP C12-11) *~* INHERITANCE TAX STATEMENT OF ACCOUNT *~* -
ESTATE OF:000LSON GEORGETTA J FILE NO.: 21 12-0393 ACN: 12122518 DATE: 04-30-2012
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: 04-23-2012
PRINCIPAL TAX DUE: .,.,e
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
04-03-2012 CD015788 11.42 228.33
TOTAL TAX PAYMENT 239.75
BALANCE OF TAX DUE 11.42CR
INTEREST AND PEN. .00
TOTAL DUE
I ~ 11.42CR
* 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.