HomeMy WebLinkAbout11-16-12BUREAU DF INDIVIDDAL T~~~?i f ' ~FFiCE ~F INHERITANCE TAX
INHERITANCE TqX OIV ISION ~
PO BOX 280601 hri.~,`. ~ --~~tp.~$TATEMENT OF ACCOUNT
HARRISBURG PA 1]12B-0601
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BRADLEY L ~ d~;~ rQ -~
200 N HANOVER ST
CARLISLE PA 17013-2423
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-160] EX pFP (12-ill
DATE 11-13-2012
ESTATE OF POLITZER-HARDY MICHAEL D
DATE OF DEATH 02-17-2012
FILE NUMBER 21 12-0377
COUN7Y 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 cretlit to your account, submit the u
pper portion of this form with your tax payment.
CUT ALONG THIS LINE _~-_ RE_TAIN LOWER PORTION FOR YOUR RECORDS (--~
REV-1607 EX AFP (12-11) x~(* INHERITANCE TAX STATEMENT OF ACCOUNT ^:(^
ESTATE OF:POLITZER-HARDY MICHAEL D FILE NO.: 21 12-0377 ACN: 101
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMM AATO HE pRINCIP
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:
581.95
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-)
04-27-2012 CD015906 29.10
10-26-2012 REFUND .00
AMOUNT PAID
1,200.00
647.15-
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
T07AL DUE
• IF PgIO 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.
581.95
.00
.00
.00
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