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HomeMy WebLinkAbout05-29-07 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO lOX 210601 HARRISIURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE -1. -, INHERITANCE TAX STATEMENT OF ACCOUNT *' REV-1607 EX AFP (OS-OS) LISA MARIE COYNE COYNE & COYNE 3901 MARKET ST CAMP HILL (,; r=P1< I~'"'.\: ",)-:-'_' II.., "'- 0'"'[" ' -~-,' ,-':.-\ 1\' C\.J.\,/'"- - DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-21-2007 BARBOUR 05-09-2006 21 06-0430 CUMBERLAND 101 ORIOLA M t~" " 2 ('Ie; Ii ~; I'?' :-, 3 r l f\ \ ':) t \ to,. ,";. PA 17011 t Amount Remitted 1 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE --------------------------------------------------------------------------- .... RETAIN LOWER PORTION FOR YOUR RECORDS +- REV-1607 EX AFP (03-05) ... INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF BARBOUR THIS STATEMEMT IS POOVIOEO TO ,"VISE OF THE CUOOEHT STATUS OF THE STATED ..M IH THE M..EO ESTATE. SHOMH OE'O. IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. ORIOLA H FILE NO. 21 06- 0430 ACN 101 DATE 05-21-2007 DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-30-2007 PRINCIPAL TAX DUE, ..311.27 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 08-09-2006 CD007083 215.56 4,200.00 05-17-2007 REFUND .00 104.29- TOTAL TAX CREDIT 4,311.27 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 If IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 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. ) Clt ( IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED.