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HomeMy WebLinkAbout05-24-13 _ Pennsylvania DEPARTMENT OF REVENUE 117 BUREAU OF INDIVIDUAL TAXEn ECORDi�P) O�'¢}'TrNHER. ITANCE TAX REV-160] EX AFP REVENUE INHERITANCE TAX DIVISION 973 AY O NT OF ACCOUNT HARRISBURG6PA 1 712 8-0 601 REGIS�TEP O[(,n:��_LQ 1013 (ICY 2`i 1 ii �7 DATE 05-20-2013 ESTATE OF BAILEY DELORES J CLERK Qr DATE OF DEATH 10-19-2011 ORPHANS' G��f� l. FILE NUMBER 21 11-1150 MARCUS A MCKNI COUNTY CUMBERLAND 4SflTMERLAND CO., PQ ACM 101 60 W POMFRET ST CARLISLE PA 17013-3243 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 RETAIN LOWER PORTION FOR YOUR RECORDS F - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1607 EX AFP (12-12) *�� INHERITANCE TAX STATEMENT OF ACCOUNT ■�+ ESTATE OF:BAILEY DELORES J FILE NO. : 21 11-1150 ACN: 101 DATE: 05-20-2013 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: 04-15-2013 PRINCIPAL TAX DUE: 9,976. 10 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-27-2012 CDO16968 131 .70- 10,595.50 05-03-2013 REFUND .00 487.70- - TOTAL TAX PAYMENT 9,976. 10 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. ©0