HomeMy WebLinkAbout11-13-12 (2)BUREAU OF INDIVIDUAL Tdf~~w~'u~''~,,1`+s-~~~ ~FINHERITANCE TAX
INHERITANCE TAX DIVISION t''1";'', l;~ ATEMENT OF ACCOUNT
PO BOX 280601 r't~ `~ _ + :'.
HARRISBURG PA 17128-0601
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-11)
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ESTATE OF SAMPSON MARY D
DATE OF DEATH 03-02-2011
r "~`:_;{::, ; _.; ~ ,.T FILE NUMBER 21 11-0525
MARY SGb.N~~ND l,O„ PA COUNTY CUMBERLAND
LOT 529 ACN 11126210
Amount Remitted
90 SALEM CHURCH RD
MECHANICSBURG PA 17050
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NDTE: 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 _ t'~ _ _
REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SAMPSON MARY D FILE N0.:21 11-0525 ACN: 11126210 DATE: 11-05-2012
THIS STATEMENT PRDVIDES 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: 07-10-2012
PRINCIPAL TAX DUE: .00
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
04-28-2011 CD014413 .00 44.33
06-28-2011 CD014639 :OD 2,22
07-16-2012 REFUND .00 46.55-
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
~ I .00
* 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.
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