HomeMy WebLinkAbout10-22-12~~C~~~L~'~~=; ~~=F~uE 0~ Pennsylvania ~
BUREAU OF INDIVIDU~y~,~~5~ ' `' ~~'-gtyl f C INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIYISION'~-f~~~~~~~ 5` ' 1''~'J
REV-1607 EX AFP (12-11)
Po Box zso6ol STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
~~42 OCT 22 P~ 12,~ 3
DATE 10-15-2012
ESTATE OF KAZINER SHIRLEY
'`•-=-'rte r^,G~~i~A DATE OF DEATH 08-10-2010
ORPHAN ~ v FILE NUMBER 21 10-0987
~g~~L~~ ~' COUNTY CUMBERLAND
DAVID W RAHAUSER ACN 101
157 E WASHINGTON ST '
Amount Remitted
CHAMBERSBURG PA 17201-2536 ~
-
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 payrment.
CUT ALONG THIS LINE _ _~_ _ RETAIN LOWER PORTION FOR YOUR RECORDS _ !-- _ _ _ _ _ _ II'
REV-1607 EX AFP C12-11) **~ INHERITANCE TAX STATEMENT OF ACCOUNT ~~* -~
ESTATE OF:KAZINER SHIRLEY FILE NO.: 21 10-0987 ACN: 101
DATE: 1 -1 -2012
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF TF~E PR NCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST F~GURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT:
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID f-)
05-25-2012 FN008836 102.67- 3,400.00
10-01-2012 REFUND .00 11.07-
9-04-
3,2$6.26
TOTAL TAX PAYMENT 3,2 6.26
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. j
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.