HomeMy WebLinkAbout05-22-12~~~~~~:~;;.:-_,::; `. F pennsylvania~ ~_ .
~' TNFTANCE TAX DEPARTMENT OF REVENUE ,
BUREAU OF INDIVIDUAL TAXES ~I ~ ,iri REV-1607 EX AFP (12-11)
INHERITANCE TAX DIVISION y`` '-' S''~`ATEM~-I~T QF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
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ROBERT G FREY
5 SOUTH HANOVER STREET
CARLISLE PA 17013
DATE 05-14-2012
ESTATE OF BURCICK SR WILLIAM H
DATE OF DEATH 07-01-2008
FILE NUMBER 21 08-0761
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 -~ _ .RETAIN LOWER PORTION FOR YOUR RECORDS F- - - - - - - - - - - - - -
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REV-1607 EX AFP C12-11~ **~ INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BURCICK SR WILLIAM H FILE N0.:21 08-0761 ACN: 101 DATE: 05-14-2012
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: 11-26-2010
PRINCIPAL TAX DUE:
4,933.90
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID C-~ AMOUNT PAID
06-09-2010 CD012883 .00 3,488.00
06-21-2010 CD012955 .00 1,445.90
04-18-2012 CD015865 92.00- 92.00
BALANCE OF UNPAID INTEREST/PENALTY AS OF 04-19-2012~TOTAL TAX PAYMENT ~ 4,933.90
BALANCE OF TAX DUET .00
INTEREST AND PEN. ~ 181.96
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.
181.96
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