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HomeMy WebLinkAbout07-23-12(~C pennsylvania BUREAU OF INDIVIDUAL TAXES ~~?'~D~'F~Y'~~RITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX OIY ISION '`i'f'~^~~ REV-1607 EX AFP (12-Ill PO BOX 280601 ~ S!Ci' ,$"~'~,~ENT OF ACCOUNT HARRISBURG PA 17128-0601 P~'2 JUL 23 PH II 30 DATE 07-16-2612 ESTATE OF `•:HOTSBERGER JAMES A ;y,~':;, .; DATE OF DEATH f13-23-2611 ORPHAN"S (~(~UhT FILE NUMBER 21 11-0454 CUMBERLAND CO., PA COUNTY (:UMBERLAND JAMES D BOGAR ACN ].O1 1 W MAIN ST SHIREMANSTOWN PA 17611-6327 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF~ WILLS 1 COURTHOUSE SQUARE CARLISLE F'A 17013 NOTE: To ensure proper <redSt to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1607 EX AFP (12-11) ^~~ INHERITANCE TAX STATEMENT OF ACCOUNT ~~^ ESTATE OF:SHOTSBERGER JAMES A FILE N0.: 21 11-0454 ACN: 101 DATE: 07-16-2012 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: 05-29-2012 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 12-22-2011 CD615379 .00 7,052.15 06-26-2012 CD016180 3.09- 205.75 7.254.65 TOTAL TAX PAYMENT 7,254.81 BALANCE OF TAX DUE .16CR INTEREST AND PEN. .00 TOTAL DUE L6CR ~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. /y IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR7, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.