HomeMy WebLinkAbout11-16-12BUREAU OF INDIVIDUAL ~ '- ~ -~~~~~ ~~ INHERITANCE TAX
POHBOXT280601~ DIVISION 4, i,~ V ~,_.? ~~ '.~~~~ L~TATEMENT OF ACCOUNT
HARRISBURG PA 1]128-0601
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RONALD P SY~~BERL~VvD CO., PA
3737 SHARON ST
HARRISBURG PA 17111-1949
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DEPARTMENT OF REVENUE
REV-160] EX AFP (12-ill
DATE 11-13-2012
ESTATE OF HUMMEL LEAH L
DATE OF DEATH 12-25-2011
FILE NUMBER 21 12-0242
COUNTY CUMBERLAND
ACN 101
Amount Remittetl
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 P_ORTI_ON FOR YOUR RECORDS t--~
REV-1607 EX AFP (12-11) ^~* INHERITANCE TAX STATEMENT OF ACCDUNT ^~~ -~-~---'
ESTATE OF:HUMMEL LEAH L FILE N0.:21 12-0242 ACM: 101
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARAYTOF• THE PRINCIDPA2L
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND. IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: LO-O1-2012
PRINCIPAL TAX DUE:
_ 26,175.18
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (- ) AMOUNT PAID
03-22-2012 CD015737 1,308.76 26
250
00
10-26-2012 REFUND 00 ,
.
. 1,383.58-
TOTAL TAX PAYMENT 26,175.18
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A ••CREDIT•• (CRJ, YOU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FDR INSTRUCTIONS.
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