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HomeMy WebLinkAbout04-30-12~L ~ ,- ,... 1L ~` ` ~-~iHERITANCE TAX BUREAU OF INDIVIDUAL TAXES :.- INHERITANCE TAX DIVISION ~=`'.._ ,. ~,'~~~ E M E N T O F A C C O U N T PO BOX 280601 HARRISBURG PA 17128-0601 r .~ r n r _ - rv; I : v ~~ i _ i _ ~_ rig,. ~1'~ ` "r ~i~?~{. ( ,~ :~~, ((~~~~'I'~~~ rl i hAI-1 /'~ rah JOEL A SZ1CJ~ ~ 1014 SOUTHFIELD CT HARRISBURG PA 17111 Pennsylvania ~ ~. DEPARTMENT OF REVENUE REV-1607 EX AFP (12-1ll DATE 04-23-2012 ESTATE OF SZAJEK JOSEPH P DATE OF DEATH 01-22-2011 FILE NUMBER 21 11-0355 COUNTY CUMBERLAND ACN 11156143 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:SZAJEK JOSEPH P FILE N0.:21 11-0355 ACN: 11156143 DATE: 04-23-2012 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION DF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-14-2012 PRINCIPAL TAX DUE: .00 PAYMENTS CTAX CREDITS): PAYMENT I RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-23-20121 CD015746 I .00 113.87 TOTAL TAX PAYMENT I 113.87 BALANCE OF TAX DUE 113.87CR 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. 113.87CR