HomeMy WebLinkAbout08-06-12„_,,,,,.. J~ Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES ~F'•_+.Ii'~~.t~") '~~ TANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~ 4~~` ~'~~~'~~~~ O F ACCOUNT REV-1607 EX AFP (12-11)
PO BOX 280601 ~t-`°i~ _
HARRISBURG PA 17128-0601
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BEVERLY S LEHMAN ~h~~ERI~~ ~••
280 BARNSTABLE RD
CARLISLE PA 17015-9412
DATE 07-30-2012
ESTATE OF SHUGHART THELMA M
DATE OF DEATH 04-15-2011
FILE NUMBER 21 11-0523
COUNTY CUMBERLAND
ACN 11132959
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 _ -_ _~_ RE_TAIN LOWER P_ORTI_ON FOR YOUR RECORDS _ F-
REV-1607 EX AFP C12-11) *~* INHERITANCE TAX STATEMENT OF ACCOUNT ~~* ~--
ESTATE OF:SHUGHART THELMA M FILE NO.: 21 11-0523 ACN: 11132959 DATE: 07-30-2012
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: 04-16-2012
PRINCIPAL TAX DUE: 98.67
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
04-23-2012 CD015884 .80- 99.47
TOTAL TAX PAYMENT 98.67
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
I I .00
* 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.