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HomeMy WebLinkAbout03-18-13BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX INHERITANCE Tax DIVISION 28 PO ERI 28860] STATEMENT OF ACCOUNT HARRISBURG PA 17128 -0601 RECORDED OFFICE OF DATE REGISTER OF 4 "ll_i S ESTATE OF 0 lU 1 pp cri �y DATE OF DEATH 10'(� 13 MR RM 8 29 FILE NUMBER COUNTY 1 01 pennsytvania DEPARTMENT OF REVENUE REV -1607 Etc AFP (12-12) 03 -11 -2013 ANTONICELLI MAXINE R 12 -17 -2011 21 11 -1372 CUMBERLAND MURREL WALTERS III ESQ CLERK OF ACN 101 54 E MAIN ST ,L$' N 17 G O.. PA COURT Amount Remittod MECHANICSBURG PA 6XI " i 4 E ._._._ _ 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 --10 RETAIN LOWER PORTION FOR YOUR RECORDS !— ________________.,___.._______-__-__________________-___-_-_-_-_-___- REV -1607 EX AFP C12 -I2) 1EAi INHERITANCE TAX STATEMENT OF ACCOUNT ■gym ESTATE OF:ANTONICELLI MAXINE R FILE NO.: 21 11 -1372 ACN: 101 DATE: 03 -11 -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: 12 -10 -2012 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT ( +) AMOUNT PAID DATE NUMBER INTEREST /PEN PAID ( -) 03 -07 -2012 CDO15667 11000.00 19,000.00 09 -20 -2012 CDO16520 .28- 1,175.22 02-25 -2013 REFUND .00 49.72- 21,125.22 TOTAL TAX PAYMENT ! 21,125.22 BALANCE OF TAX DU .00 INTEREST AND PEN. TOTAL DUE I .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. i