HomeMy WebLinkAbout12-29-09BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
CLEPF~~ C~
ORPH/~~~'~ !'~~R
MARIELLE F HAZEN GU~~~'~"'''•_'~'~C' ';'~,; PA.
HAZEN ELDER LAW
2000 LINGLESTOWN RD 2
HARRISBURG PA 17110
'`''~- '~°'-'--IIVW~R~I~b-NCE TAX
~r~;51~T.~M'~~!1`.' OF ACCOUNT
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-16D7 FCC AFP C12-09)
DATE 12••14-2009
ESTATE OF VERONIKIS STEVE D
DATE OF DEATH 09••23-2008
FILE NUMBER 21 08-1068
COUNTY CUMBERLAND
ACN 10 :L
Amount Remitted
209 DEC 29 AM 10~ 33
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
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 ~ _ __
REV 1Z03~ EX AFP C12 09) ~ ~~~ *** INRERI~~-~IfCE ~/~iX ST~~-~EMENT~OF~ACCOUN~~~~*~*~~~~~~~ ~~~~~~ ~~~~~
ESTATE OF:VERONIKIS STEVE D FILE NO.: 21 08-1068 ACN: 101 DATE: 12-14-2009
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: 10-19-2009
PRINCIPAL TAX DUE: 3,850.52
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID (-) AMOUNT PAID
12-19-2008 CD010670 189.47 3,600.00
11-16-2009 CD012002 1.17- 62.22
12-11-2009 SBADJUST .00 .05
TOTAL TAX PAYMENT 3,850.52
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
I 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)r YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.