HomeMy WebLinkAbout11-13-12BUREAU OF INDIVIDUAL TA~~T~~ 1~'-=_.I-` ~~~~ ~ !C~ ~ INHERITANCE TAX
INHERITANCE TAX DIVISION ~ [;~~~ '~ `R~`~~~AT E M E N T O F AC C p U N T
Po Box 2BO6o1 <<~,a,J ... »:~_
HARRISBURG PA 17128-0601
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LISA MAR I E ~,~~E~V? Cll., PA,
3901 MARKET ST
CAMP HILL PA 17011-4227
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-I1)
DATE 11-05-2012
ESTATE OF WALTON RICHARD A
DATE OF DEATH 02-15-2012
FILE NUMBER 21 12-0232
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 _ ~
REV-1607 EX AFP C12-11) **~ INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:WALTON RICHARD A FILE NO.: 21 12-0232 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 DR RECORD ADJUSTMENT: 09-24-2012
PRINCIPAL TAX DUE: 401.15
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-15-2012 CD015974 20.06 500.00
10-17-2012 REFUND .00 118.91-
TOTAL TAX PAYMENT ~ 401.15
BALANCE OF TAX DUET .00
INTEREST AND PEN. ~ .00
TOTAL DUE
* 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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