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HomeMy WebLinkAbout10-22-12 BUREAU OF INDIVIDUAL TA>~s~n~+~.~~`~ r~~'~~"~~/~E,~.~~+~INHERITANCE TAX POHBOXT280601~ DIVISION ~~tR•:.'CFi'.:~" ~'tiF't~ATEMENT OF ACCOUNT HARRISBURG PA 17128-0601 ~4C OCT 22 P1~ 12.~ 3J i ._ QRP~"5 CGJRT LEE 0 AMMERM~IIJMBER~{D CO~, PAr 930 PINETOWN RD LEWISBERRY PA 17339-9773 Pennsylvania ~ DEPARTMENT OF REVENUE REY-1607 EX AFP C12-11) DATE 10-15-2012 ESTATE OF AMMERMAN HELEN 0 DATE OF DEATH 06-09-2011 FILE NUMBER 21 11-0801 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYI~ENT'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 _ ~-- REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** * -- ESTATE OF:AMMERMAN HELEN 0 FILE N0.:21 11-0801 ACN: 10] DATE: 10-1 -2012 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF T E PR NCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-14-2012 PRINCIPAL TAX DUE: 7,3p1 00 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID 08-26-2011 CD014901 103.53 1,967.00 01-16-2012 CD015474 .00 5,236.00 10-02-2012 CD016591 .00 95.04 TOTAL TAX PAYMENT 7,4 1.57 BALANCE OF TAX DUE 1 0.57CR INTEREST AND PEN. ! .00 TOTAL DUE 1~0.57CR * IF PAID AFTER THIS 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 FOR INSTRUCTIONS.