HomeMy WebLinkAbout07-30-12BUREAU OF INDIVIDUAL ~~}y;y~J,,pr~~(`' n~~~ ~ INHERITANCE TAX
INHERITANCE TAX DIVISION ~'`.vv' `-~" ,`~~
Po Box 280601 {'~'[ $S~ ~ :~~: ~~q~~~gTATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601 (~L~+V'~~-'~ ~"~
2012 JUL 30 PM 3= 13
DAVID H ST(~~~~~LANC1 ~..
414 BRIDGE
NEW CUMBERLAND PA 17070-1927
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-11)
DATE 07-23-2012
ESTATE OF CLEMENTS H LOUISE
DATE OF DEATH 04-24-2011
FILE NUMBER 21 11-0542
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 _ _-_~_ RE_TAIN LOWER PORTION FOR YOUR RECORDS _ E- _ _ _ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP (12-11) **~ INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:CLEMENTS H LOUISE FILE N0.:21 11-0542 ACN: 101 DATE: 07-23-2012
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-11-2012
PRINCIPAL TAX DUE:
12,392.88
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
07-20-2011 CD014748 619.b4 12,000.00
07-06-2012 REFUND .00 226.76-
TOTAL TAX PAYMENT I 12,392.88
BALANCE OF TAX DUEL .00
INTEREST AND PEN. ~ .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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.