HomeMy WebLinkAbout10-22-12,,.- . ;,_- , Pennsylvania ~
BUREAU OF INDIVIDUAL ~t~~'~~~{rC~ .~FlC~O~ INHERITANCE TAX DEPARTMENT OF REVENUE
POHBOXT280601~ DIVISION ~t~,a.~l:~-fj r ,~~- ~g~{I ~.~TATEMENT OF ACCOUNT REV-1607 EX AFP (12-11)
HARRISBURG PA 17128-0601
~~#~2 ~C~ 22 Q~ ~~~ 34 DATE 10-15-2012
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R MARK THONA~'~!~31CFkIikf ~~~•
101 S MARKET ST
MECHANICSBURG PA 17055-6328
ESTATE OF MOORE SR ROBERT L
DATE OF DEATH 05-30-2010
FILE NUMBER 21 10-0614
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 _ -_-_-1_ RETAIN LOWER P_ORTI_ON FOR YOUR RECORDS _ ~--- _ _ _ _
REV-1607 EX AFP C12-11) *~* INHERITANCE TAX STATEMENT OF ACCOUNT *** '
ESTATE OF:MOORE SR ROBERT L FILE NO.: 21 10-0614 ACN: 101 DATE• 10-1~-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: 08-10-2012
PRINCIPAL TAX DUE: 2,2 0.33
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
12-02-2011 CD015278 .00 2,230.33
10-04-2012 CD016605 50.66- 50.66
TOTAL TAX PAYMENT 2,2~i0.33
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), YDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.