HomeMy WebLinkAbout11-13-12r~ ~r-~,.,
BUREAU DF INDIVIDUAL TAXES ~` V~~"'{ ~`~~ ~,, ? ~V~ ERITANCE TAX
INHERITANCE TAX DIVISION ' ` ~~~1 LAMENT OF ACCOUNT
PO BOX 280601 r'~. 7!~`~ ! '
HARRISBURG PA 17128-0601 ~!~' ~°" ~ '~ v.
~~..
MARY S MILLS Cl~~~~~~i ~'~[) C~., PA
LOT 529
90 SALEM CHURCH RD
MECHANICSBURG PA 17050-5281
pennsyLvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-11)
DATE 11-05-2012
ESTATE OF SAMPSON MARY D
DATE OF DEATH 03-02-2011
FILE NUMBER 21 11-0525
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 _ - - - ~_ RE_TAIN LOWER PORTION FOR YOUR RECORDS _ ~ _
REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SAMPSON MARY D FILE NO.: 21 11-0525 ACN: 101 DATE: 11-05-2012
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: 07-16-2012
PRINCIPAL TAX DUE: 103.42
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-04-2012 CD015792 .00 51.70
07-31-2012 CD016334 1.55- 53.30
TOTAL TAX PAYMENT 103.45
BALANCE OF TAX DUE .03CR
INTEREST AND PEN. .00
TOTAL DUE
.03CR
~ 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.
\;/r