HomeMy WebLinkAbout09-07-12Pennsylvania ~
r1C('`r~~'~ir{~' '~~-~-~ DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES i?i:.>L~~ ~u+-~/ ~~ ITANCE TAX
INHERITANCE TAX DIVISION {-('~;('!'~~^y~ ~ REV-1607 EX AFP C12-11)
PO BOX 280601 ~?~.~~;,{.,~;".R./' s~T DF ACCOUNT
HARRISBURG PA 17128-0601
~~~ vC..~ _1 1 fi {~' ::v DATE 09-04-2012
ESTATE OF NICHOLS PATSIE A
,~, -.~,,, ,--,:-. DATE OF DEATH 12-29-2010
~~'-``~~"' FILE NUMBER 21 11-0040
~.tJi"{l-+~d J vV~~T COUNTY CUMBERLAND
GARY B QUIGLEY CUM~CRL~{UD CO., PA ACN 101
428 WOODRUFF WAY
Amount Remitted
HARRISBURG PA 17112-8958
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 (--~ _ _ _ _
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REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT **~
ESTATE OF:NICHOLS PATSIE A FILE N0.:21 11-.0040 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: 04-30-2012
PRINCIPAL TAX DUE: 36,898.13
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
03-22-2011 CD014171 1,831.74 34,803.00
09-27-2011 CD015007 .00 354.98
08-20-2012 REFUND .00 91.59-
TOTAL TAX PAYMENT I 36,898.13
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
~ 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.
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