HomeMy WebLinkAbout09-28-12BUREAU OF INDIVIDUAL ~~~~~ ~~FiCE DF INHERITANCE TAX
INHERITANCE TAX DIVISION ~iGU~`vi~~P, ~ ;~ ~~(~~~`TATEMENT OF ACCOUNT
PO BOX 280601
7128-0601
Pennsylvania ~`
DEPARTMENT OF REVENUE
REV-160] EX AfP Q2-11)
HARRISBURG PA 1
09-24-2012
?012 SEP 28 PM 12~ 21 DATETE OF BAKER STEVEN C
..L.~ r ..
ryryOyyR~QQPiCC-WN'S COUN?
SUSAN H CONP'A'SRR~~~ CO•'
2331 MARKET ST
CAMP HILL PA 17011-4642
ESTA
DATE OF DEATH 12-23-2010
FILE NUMBER 21 11-0052
COUNTY CUMBERLAND
ACN 101
Amount Remittetl
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 wSth Your tax payment.
.-~- RETAIN LOWER PORTION FOR YOUR RECORDS __~ ______________
CUT ALONG THIS LINE _ '"'-"~"~ ^~~
____________________________
REV-1607 EX AFP (12-11) ^** INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE DF:BAKER STEVEN C FILE N0.: 21 11-0052 ACN: 101 DATE: 09-24-2012
TAXSDU EpTAPPLICATIOND OF AL LRPAYMENTS SINE LURRENTT BALANCEINANOE IFMAPPLICABLE,BALPR JECTED INTEREST FIOURELNCIPAL
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: OS-20-2012
13,555.26
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
INTEREST/PEN PAID (-~
DATE NUMBER
03-23-2011 CD014176 165.00
03-23-2011
CD014175 512,76
09-04-2012
REFUND ,00
AMOUNT PAID
3,135.00
10,450.00
707.50-
TOTAL TAX PAYMENT 13,555.26
.00
BALANCE OF TAX DUE _____
.00
INTEREST AND PEN.
TOTAL DUE ~ ,Op
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
~'