HomeMy WebLinkAbout07-10-12 (5) T_____. _ __ _ _.~
- - -
- __
pennsylvania ~
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX D1:V ISION R (;(~~KXL~F TAX
S yp~~,yyy~ BTtly;{r 1 CCO U NT
~ DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-1ll
PO BOX 280601 "' Yntvl
LV'~+'
IURRIS BURG PA 1]l:!B-0601
1'~11 fB Ed
ZUILJUL ~0 Pt1~2• ~v17E
07-02-2012
ESTATE OF BURRELL JEAN C
DATE OF DEATH 11-18-2010
C r ~.
FILE NUMBER
L~-
4
~~
~E~'
u
~ 21 10-1185
r
~f
~~tp
~~
~
~
p
S
W
W
't
iw~
COUNTY
E
7
r
V CUMBERLAND
JOSEPH D KERWI N ~
~'
p~
J
n
M
I11
~~I
A~
A~'En~
WIYI~w W.. "ACN 101
4245 STATE ROUT 209
Amount RemiYtetl
ELIZABETHVILLE PA 17023
MAKE CHECK .PAYABLE AND REMIT PAYMENT T0:
NOTE: To ensure proper)
CUT ALONG THIS LINE
REV-1607 EX AFP (12-1
ESTATE OF:BURRELL
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA. 17013
cretl3t to your account, submSt the. upper portion of this form wSth your tax payment.
.-~ RETAIN LOWER PORTION FOR YOUR RECORDS l--~
^*^ INHERITANCE TAX STATEMENT OF ACCOUNT ^~~
JEAN C FILE NO.: 21 10-1185 ACN: 101 DATE: 07-02-2012
THIS STATEMENT PROVIDES CU~RENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. HEI.OW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION DF AL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-05-2011
PRINCIPAL TAX DUE: i 10,370.32
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUM ER INTEREST/PEN PAID (-)
-02-10-2011 DAO 2544 518.52 10,000.00
06-12-2012 REF ND .00 148.20-
TOTAL TAX PAYMENT 10,370.32
'. BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
~ IF PAID AFTER THIS DAT~, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLEC ED AS A "CREDIT" (CR), VOU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIDNS. ~
00
00
00
dH