HomeMy WebLinkAbout07-10-12 (5)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 1]128-0601
~G174~4J~~' ~'~~ RITANCE TAX
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~~i4viC'~~A NT OF ACCOUNT
2642 JUL I 0 PM 12~ 18
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DELORES COULSCT~'-'---- - ~ PA
616 HIGHLAND AV1E
CARLISLE PA 17013-4107
Pennsylvania ~
DEPARTMENT OF REVEN UE
REV-160] EX AFP (12-ill
DATE 07-02-2012
ESTATE OF COULSON GEORGETTA J
DATE OF DEATH 03-19-2012
FILE NUMBER 21. 12-0393
COUNTY CUMBERLAND
ACN - 12122516
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE: SQUARE
', CARLISLE PA 17013
NOTE: To ensure props rv, eretlit to your acepunt, 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:000LSON GEORGETTA J FILE NO.: 21 12-0393 ACN: 12122516 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 APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSME~JT OR RECORD ADJUSTMENT: 06-18-2012
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITSU:
P DAM ENT RN UCMIB ER (INTEREST/PEN PAID C-) AMOUNT PAID
06-06-20121 CDg16073
11.12
211.23
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
' INTEREST AND PEN.
'. TOTAL DUE
~ IF PAID AFTER THIS DATI~. SEE REVERSE SIDE FDR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLE C~fED AS A "CREDIT" (CRT, VOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. ~
222.35
222.35
.00
.00
.00
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