HomeMy WebLinkAbout06-15-12BUREAU OF INDIVIDUAL TAXES f~~U~r~11~`} `,}~;-~TANCE TAX
INHERITANCE TAX DIVISION ~`~~~~ ~N T O F A C C O U N T
PO BOX 280601 r~,;~ '~~,~
HARRISBURG PA 17128-0601 ~~`A" ` `'~
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MINDY S GOODMAN ES~~~~p (`,p„ pA
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2215 FOREST HILLS DR
HARRISBURG PA 17112-1099
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-11)
DATE 06-11-2012
ESTATE OF LEWIS SHERRY A
DATE OF DEATH 04-18-2010
FILE NUMBER 21 10-0487
COUNTY CUMBERLAND
ACN 101
Amount Remitte d
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 wi1:h your tax payment.
CUT ALONG THIS LINE ~i RETAIN LOWER PORTION FOR YOUR RECORDS ~•
REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~**
ESTATE OF:LEWIS SHERRY A FILE N0.:21 10-0487 ACN: 101 DATE: 06-11-2012
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: 04-30-2012
PRINCIPAL TAX DUE:
2,090.21
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-~
*** SUMMARY OF ALL 005 PAYMENTS ***
05-25-2012 49.15- 2,139.36
TOTAL TAX PAYMENT I 2,090.21
BALANCE DF TAX DUET .00
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.
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