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HomeMy WebLinkAbout09-07-12 BUREAU OF INDIVIDUAL TAXES (~ ,~, ~,I ~ITANCE TAX INHERITANCE TAX DIVISION (-~`~i~,}I`,~ 1~, A4~'NT OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 l 1 _~ 1 1 ~1.' `V l~ i % `; (`~JO(~n{ Po~~V'~ vim'.': i'' MARK E HALBRUNER ESl~`g`~~~ ~'V" ~~` STE 100 1013 MUMMA RD LEMOYNE PA 17043 pennsyLvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-11) DATE 09-04-2012 ESTATE OF GUSTIN EVELYN F DATE OF DEATH 08-15-2010 FILE NUMBER 21 10-0866 COUNTY CUMBERLAND ACN 101 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 ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:GUSTIN EVELYN F FILE NO.: 21 10-0866 ACN: 101 DATE: 09-04-2012 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: 07-13-2012 PRINCIPAL TAX DUE: 571.25 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID 10-25-2010 CD013545 28.56 7,700.00 08-15-2012 REFUND .00 7,157.31- TOTAL TAX PAYMENT I 571.25 BALANCE OF TAX DUET .00 INTEREST AND PEN. ~ .00 TOTAL DUE .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.