HomeMy WebLinkAbout11-16-12r~'`Ci'~f~~"I`'''f I i~~E OF
BUREAU OF INDIVIDUAL~~TgJ~~4 -;; „i~ ~ ~, INHERITANCE TAX
PO NBOX T280601AX DIVISION i!-.~ l STATEMENT OF ACCOUNT
HARRISBURG PA 1]128-0601
`'('~ ~'0~ 16 Pi' 1135
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R MARK T~OM~~E SQ~ ~'~" ~A
101 S MARKET ST
MECHANICSBURG PA 17055-6328
lJA 1 E
ESTATE OF
DATE OF DEA
FILE NUMBER
COUNTY
ACN
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-160] EX AFP Q2-11)
11-13-2012
RYAN DOLORES M
IH 12-24-2011
21 11-1383
CUMBERLAND
101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
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_TA IN LOWER PORTION FOR YOUR RECORDS (--~
____________________ _
REV-1607 EX AFP (12-11> ~*~ --"--------'-'-~----- ____
INHERITANCE TAX STATEMENT OF ACCOUNT ^~~ --"----'-
ESTATE OF:RYAN DOLORES M FILE NO.: 21 11-1383 ACN: 101
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARAYTOF• 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: 10-01-2012
PRINCIPAL TAX DUE:
18,868.26
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
03-15-2012 CD015706 789
47
07-12-2012 CD016250 . 15,000.00
10-29-2012 REFUND .00 3,118.26
.00 39.47-
TOTAL TAX PAYMENT 18,868.26
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
~ IF PgIO AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL OUE IS REFLECTED AS A "CREDIT" CCR1, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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