HomeMy WebLinkAbout10-22-12_ __ __ _ _.. _ _ - ,. _. -T
`' ~~'~'~~ '~FFi~~ OF
BUREAU OF INDIVIDUAL ~~'~-~' INHERITANCE TAX
POHBOXT280601~ DIVISION AE~~u~~. ~.,'i ,tell ~..~TATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
'~ i ~ OCT 22 Pty 12~ 34
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SUZANN M Mf1A!'BL~L~~~ C~•,
939 EMILY DR
MECHANICSBURG PA 17055-5779
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-I1)
DATE 10-15-2012
ESTATE OF POLILLO ROSEMARIE A
DATE OF DEATH 12-18-2010
FILE NUMBER 21 11-0022
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMiENT'T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: 7o ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE _ ~_-_1_ RE_TAIN LOWER PORTION FOR YOUR RECORDS _ ~--
REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~*~ r --
ESTATE OF:POLILLO ROSEMARIE A FILE NO.: 21 11-0022 ACN: 101 DATE• 10-15~-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: 05-29-2012
PRINCIPAL TAX DUE: 3,91 10
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
01-04-2012 CD015419 34.72- 3,955.82
05-29-2012 SBADJUST .00 .O1
10-03-2012 CD016589 .00 267.54
TOTAL TAX PAYMENT 4,1 8.64
BALANCE OF TAX DUE 2~7.54CR
INTEREST AND PEN. .00
TOTAL DUE
2~7.54CR
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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