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HomeMy WebLinkAbout11-05-12`'~'C~" '~-' ERITANCE TAX BUREAU OF INDIVIDUAL TAXES {fnF'~'+~ INHERITANCE TAX DIVISION f'L~~st~ .,~ S Td. M E N T O F AC C O U N T PO BOX 260601 HARRISBURG PA 17128-0601 ROGER B IRWIN ES~M~E~`~tVG C'O" PA 60 W POMFRET ST CARLISLE PA 17013-3243 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-11) DATE 10-29-2012 ESTATE OF MOUNTZ FRANCES S DATE OF DEATH 03-14-2011 FILE NUMBER 21 11-0410 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 ~) RETAIN LOWER PORTION FOR YOUR RECORDS t- --------------------------------------------------------------------------- REV-1607 EX AFP C12-11~ *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:MOUNTZ FRANCES S FILE NO.: 21 11-0410 ACN: 101 DATE: 10-29-2012 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: 10-01-2012 PRINCIPAL TAX DUE: 746.52 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 07-12-2012 CD016252 .00 746.52 10-17-2012 CD016650 12.92- 12.92 TOTAL TAX PAYMENT I 746.52 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. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.