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HomeMy WebLinkAbout11-16-12 BUREAU OF INDIVIDUAL TAXES CF ..~r. ~ S~~I~I~F,,~(~ERITANCE TAX INHERITANCE TA% DIVISION i~~ - ' ~`TA'Ct19ENT OF ACCOUNT PO BO% 280601 HARRISBURG PA 17128-0601 2;?~!n4' 16 ~;~ I~ 39 C. ~P~I~~, ~ , I.~'._ ~ I f i CU4",BP~_,a~:D CQ, PA NICOLE L DEVANEY 4607 PROSPECT AVE GLYNDON MD 21136-3800 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP Q2-11) DATE 11-13-2012 ESTATE OF SHIELDS JOHN H DATE OF DEATH 07-27-2011 FILE NUMBER 21 12-0810 COUNTY CUMBERLAND ACN 11152249 Amount Remittetl MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SpUARE CARLISLE PA 17013 NOTE: To ensure proper <retlit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RE7AIN LOWER PORTION FDR YOUR RECORDS (-~ REV-1607 EX AFP (12-11~ x~~ INHERITANCE TAX STATEMENT OF ACCOUNT ~~^ - ESTATE OF:SHIELDS JOHN H FILE NO.: 21 12-0810 ACN: 11152249 DATE: 11-13-2012 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: 10-05-2012 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT INTEREST/PEN (+) PAID (-) AMOUNT PAID 07-24-2012 CD016301 .00 864.38 10-30-2012 CD016723 7.12- 67.35 11-09-2012 SBADJUST .00 .03 TOTAL 7AX PAYMEN7 924.61 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ IF PAID AFTER THIS GATE, SEE REVERSE SIDE FOR CALLU LATIDN 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. edtS ~y