HomeMy WebLinkAbout04-05-13 RECORD D n6irr;^C cF'
pennsylvania
//yy_ DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAX 01C- S -� Vi gt �� J IIERITANCE TAX
REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
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HARRISBURG PA 17128-0601 A113 t IPR J F." r;, r
DATE 04-01-2013
C LE-R 01 ESTATE OF OROURKE ROBERT
AN O'- ,h•,,".}... DATE OF DEATH 08-21-2011
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CUMBERL Nr", C{.., r ., FILE NUMBER 21 11-0944
COUNTY CUMBERLAND
CHARLES E SHIELDS III ACN 101
6 CLOUSER RD
MECHANICSBURG PA 17055-9751 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 - - - - - RE_TAIN LOWER PORTION FOR YOUR RECORDS _ � _ _ _ _
REV-1607 EX AFP X12-12) * INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:OROURKE ROBERT FILE NO. : 21 11-0944 ACN: 101 DATE: 04-01-2013
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: 03-04-2013
PRINCIPAL TAX DUE: 6,478.88
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
07-17-2012 CDO16264 .00 4,358. 01
03-21-2013 CDO17361 69. 13- 2,190.00
03-29-2013 SBADJUST .00 4. 11
TOTAL TAX PAYMENT 6,478.88
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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. r
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