HomeMy WebLinkAbout08-24-12BUREAU OF INDIVIDUAL TAXES (~[ ` ` ~~A~~q+~+[~~~y~~p~p~RITANCE TAX
INHERITANCE TAX DIVISION h(-GC)~",.!.;~I~ !,/SrJnENT OF ACCOUNT
PO BOX 280601 -~.rT"r, ~'," ;F, ~~I (~
HARRISBURG PA 1]128-0601 RELT~~ ~ ( F~ ~,•; '. j ~~' V
?t'!2 AUG 24 AM I i ~ 36
MARY S MILLS ~~~ LAND CO. PA
LOT 529
90 SALEM CHURCH RD
MECHANICSBURG PA 17050-5281
Pennsylvania ~
DEPARTMENT OF REVEN UE
REV-160] EX AFP (12-11)
DATE 08-20-2012
ESTATE OF SAMPSON MARY D
DATE DF 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 SpUARE
CARLISLE PA 17013
NOTE: To ensure Proper eretlit to Your account. submit the upper Portion of this form with your tax payment.
CUT ALONG THIS LINE _ ~__-- RETAIN LOWER PORTION FOR YOUR RECORDS _l'~ ______________
____ _______________________________
- " " ""'"-"-"-~ ~~* INHERITANCE TAX STATEMENT OF ACCOUNT *~*
REV-1607 EX AFP (12-11)
ESTATE OF:SAMPSON MARY D FILE ND.: 21 11-0525 ACN: 101 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: 07-16-2012
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
103.42
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-04-2012 CD015792 .00 51.70
07-31-2012 CD016334 1.55- 53.30
TOTAL TAX PAYNENT 103.45
BALANCE OF TAX DUE .03CR
INTEREST AND PEN. .00
TOTAL DUE I .03CR~
IF PAID AFTER THIS DATE, SEE
IF TOTAL DUE IS REFLECTED AS REVERSE SIDE FOR
A "CREDIT" ICR), CALCULATION OF
YOU MAV BE DUE ADDITIONAL INTEREST.
A REFUND. SEE REVffRSE SIDE OF THIS FORM
FOR INSTRUCTIONS.