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HomeMy WebLinkAbout06-01-12BUREAU OF INDIVIDUAL TA ~ ,~'}~~k ?;Y}~-F~',~ D~INHERITANCE TAX INHERITANCE TAX DIVISION `~-~ Po sox 2so6o1 [}['r~,r. ~' i ~'- ''~~?~~-TEMENT OF ACCOUNT HARRISBURG PA 17128-0601 ~~t~Z1L% ~ ~ ~ ~ ~Y!• ~~i2 .SUN - t PM t2~ 47 ~,~; ~,~~ ~nC ., JOHN E SLIKE ~~~ f lAJ„ Q~l~ STE 400 635 N 12TH ST LEMOYNE PA 17043-1247 Pennsylvania ~?~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-11) DATE 05-29-2012 ESTATE OF BALDWIN ROBERTA S DATE OF DEATH 08-17-2010 FILE NUMBER 21 10-0889 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 _ _~_1_ RE_TAIN LOWER PORTION FOR YOUR RECORDS _ ~ _ _ _ REV-1607 EX AFP C12-11~ ~*~ INHERITANCE TAX STATEMENT OF ACCOUNT ~** ESTATE OF:BALDWIN ROBERTA S FILE NO.: 21 10-0889 ACN: 101 DATE: 05-29-2012 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: 05-07-2012 PRINCIPAL TAX DUE: 2,67b.53 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-17-2010 CD013663 133.83 7,500.00 05-10-2012 REFUND .00 4,957.30- TOTAL TAX PAYMENT 2,b76.53 BALANCE OF TAX DUE .00 INTEREST AND PEN. I .00 TOTAL DUE .00 * 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.