HomeMy WebLinkAbout12-17-12 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280681
HARRISBURG PA 17128-8601
INHERITANCE
STATEMENT OF
RECORDED 'JFFiC~ OF
REGISTER OF'td~~_LS
(C12 SEC 17 fl~ 11 'i9
BRANDON LIDDICK CLERK C.
940 SOUTH 30TH STR~PHANS' COURT
CAMP HILL Q~M'B+@REAND CO., PA
,`' Pennsylvania
DEPARTMENT OF REVENUE
TAX REV-1607 EX AFP Q2-12)
ACCOUNT
DATE 12-10-2012
ESTATE OF LIDDICK ROBERT A
DATE OF DEATH 06-15-2D11
FILE NUMBER 21 11-0724
COUNTY CUMBERLAND
ACN 11142846
Amount Remittetl
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper cradit tc your aecou nt, submit the upper portion of this Form with Your tax payment.
CUT ALONG THIS LINE ~-- RETAIN LOWER PORTION FOR YOUR RECORDS _E"' ______________
_____________________
REV-1607 EX AFP C12-12) *** INHERITANCE TAX STATEMENT OF ACCOU ^**
ESTATE OF:LIDDICK ROBERT A FILE N0.: 21 11-0724 ACN: 11142846 DATE: 12-10-2012
TAXSDUEATAPPNICATDIOND DF ALLRPAYMENT SUSTHE CURRENTT BALANCEINANDE IFN APPLICABLE,BALPROJECTED INTEREST FIGUREINLIPAL
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-22-2011
15.92
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
.80 15.92
07-22-2011 CD014766
TOTAL TAX PAYMENT 16.72
BALANCE OF TAX DUE .80CR
.00
INTEREST AND PEN.
TOTAL DUE .80CR
r IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLE LT ED AS A "CREDIT•' CCR). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. b,
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