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HomeMy WebLinkAbout10-16-12BUREAU OF INDIVIDUAL TAXES ~~~IP:~%~~ ~~t~~ITANCE TAX INHERITANCE TAX DIVISION fl~la~J~'.-~~A I~NT OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 ~t~l? OCT { 6 PM { ~ 16 ,_,_C ~, ORPHAN'S ~~UF+~ ROGER B IRWIN ESQ Vv~v+BERI.ANO CO., PA 60 W POMFRET ST CARLISLE PA 17013-3243 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-11) DATE 10-09-2012 ESTATE OF SHEAFFER JR RALPH L DATE OF DEATH 02-28-2012 FILE NUMBER 21 12-0672 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 payjment. CUT ALONG THIS LINE _ _-_-~_ RE_TAIN LOWER PORTION FOR YOUR RECORDS _ F-- REV-1607 EX AFP C12-11~ **~ INHERITANCE TAX STATEMENT OF ACCOUNT *~~ -"-"--"" ESTATE OF:SHEAFFER JR RALPH L FILE NO.: 21 12-0672 ACN: 101 DATE: 10-09I; 2012 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRLNCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE, DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-17-2012 PRINCIPAL TAX DUE: 228. 92 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID 06-13-2012 CD016104 .00 217.47 09-26-2012 CD016557 .00 11.45 TOTAL TAX PAYMENT 228.92 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIDNAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.