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HomeMy WebLinkAbout07-30-12~~O~a ~~~HERITANCE TAX BUREAU OF INDIVIDUAL TAXES ~c-~ ~~.,.I. y.~,- INHERITANCE TAX DIVISION f~L.~wlC~ Vi .~, EMENT OF ACCOUNT PO BOX 280601 HARRISBURG PA 17126-0601 2012 JUL 30 ~~ 3~ 14 ,, ~r ,- (~ORP~H~ANp'S~ ~;OUPT WM D SCHRACK IY7~~~i`~""'D ~" PA 124 W HARRISBURG ST DILLSBURG PA 17019-1268 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP C12-11) DATE 07-23-2012 ESTATE OF SHIVELY VIVIAN J DATE OF DEATH 05-26-2011 FILE NUMBER 21 11-0691 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 _ (- _ _ _ _ _ _ _ _ _ _ _ _ _ REY-1607 EX AFP C12-11) *~* INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:SHIVELY VIVIAN J FILE NO.: 21 11-0691 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: 06-04-2012 PRINCIPAL TAX DUE: 5,673.93 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 08-11-2011 CD014842 283.70 6,250.00 07-05-2012 REFUND .00 859.77- TOTAL TAX PAYMENT ~ 5,673.93 BALANCE OF 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. .00 ~~