HomeMy WebLinkAbout08-24-12BUREAU OF INDIVIDUAL TAXES~F~~Op~j~[~ ("~~*~(`~ ERITANCE TAX
INHERITANCE Taz Drv151oN ~~EMENT OF ACCOUNT
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DEPARTMENT OF REVENUE
REV-160] EX AFP (12-ill
DATE 08-20-2012
ESTATE OF COULTER LOIS C
DATE OF DEATH 11-22-2011
FILE NUMBER 21 11-1364
COUNTY CUMBERLAND
ACN 11181081
Amount Remitted
MAKE CNECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit Yo your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE 1 RETAIN LOWER PORTION FOR YOUR RECORDS _ E~
REV-1607 EX AFP (12-11) ^*~ INHERITANCE TAX STATEMENT OF ACCOUNT ~~x ~-"""""
ESTATE OF:000LTER LOIS C FILE N0.: 21 11-1364 ACN: 11181081 DATE: 08-20-2012
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: 04-09-2012
PRINCIPAL TAX DUE:
1,803.80
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
12-21-2011 CD015383 72.38 1,375.24
OS-08-2012 CD016369 00
. 356.18
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
T07AL DUE
* IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR). YOU MAV HE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
1,803.80
.00
.00
.00
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