HomeMy WebLinkAbout09-28-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
ZOIZ SEP 28 PM 12~ 2 i
RF~I~RIE~)~.' ~I'~~ANCE TAX
RCl"~~SS~~I~p7 OF ACCOUNT
ORPHAN'S COURt
KAREN HOFFMAN Cl1M6ER1AND ~" ~{
113 N SPORTING HILL RD
MECHANICSBURG PA 17050-2454
pennsylvania ~
DEPARTMENT OF REVENUE
REV-160] EX AFP Q2-11)
DATE 09-24-2012
ESTATE OF ANDERSON JR NORMAN A
DATE OF DEATH 12-29-2010
FILE NUMBER 21 11-0487
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 _l-~ ______________
REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUN ^*~
ESTATE OF:ANDERSON JR NORMAN A FILE N0.: 21 11-0487 ACN: 101 DATE: 09-24-2012
TAXSDUEATAPPLICATOI ONDOF ALLRPAYMENTS~,STHE CURRENTTBALANLEINANDE IFMAPPLICABLE,BALPROJE TEDU INTEREST FIGUREI NLIPAL
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-13-2012
23.71
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
09-12-2012 CD016498 .66- 24.37
09-21-2012 SBADJUST .00 .02
TOTAL TAX PAYMENT 23.71
BALANCE OF TAX DUE .00
.00
INTEREST AND PEN.
TOTAL DUE ,00
~ IF PAID AFTER TH IS 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 ~
V
FOR INSTRUCTIONS . A