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HomeMy WebLinkAbout07-10-12 (5)BUREAU OF INDIVIDUAL TAXES nG{~i~JI~CG ~F~}~ItITANCE TAX INHERITANCE TAX DIVISION ~'lk(..~~Cg,;L+~gtlENT OF ACCOUNT PO BOX 280601 ~ lt' / 1.:7 HARRISBURG PA 1]128-0601 20}2 JUL I 0 PM 12~ 18 vL.Lt.i ` r, ORP}~WJ`S COURT CORAL- D DEL~~L~ ~+, 2115 CREEK HILL RD LANCASTER PA 17601-5703 pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-11) DATE 07-02-2012 ESTATE OF DELLAFIORA PHYLLIS R DATE OF DEATH 03-20-2012 FILE NUMBER 21. 12-0604 COUNTY CUMBERLAND ACN 12123756 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE: SpUARE CARLISLE PA 17013 NOTE: To ensure prop¢r. cre tlit to your account, submit the upper portion of 'this form with your tax payment. CUT ALONG THIS LINE ~' _~ RETAIN LOWER PORTION FOR YOUR RECORDS t--~ REV-1607 EX AFP C12-1~J ~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ^*^ ESTATE OF:DELLAFIORA '.. PHYLLIS R FILE N0.: 21 12-0604 ACN: 12123756 DATE: 07-02-2012 THIS STATEMENT PROVIDES CU~RENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF AL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLSCABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-18-2012 PRINCIPAL TAX DUE: '~. 150.59 PAYMENTS (TAX CREDITSD: PAYMENT RECE~I PT DISCOUNT (+) AMOUNT PAID DATE NUM ER INTEREST/PEN PAID (-) 05-21-2012 CD 016030 7.53 7.50.59 TOTAL TAX PAYMENT 158.12 BALANCE OF TAX DUE 7.53CR INTEREST AND PEN. .00 TOTAL DUE 7.53CR ~ IF PAID AFTER THIS DAT4:, 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. ~P