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HomeMy WebLinkAbout12-29-09 (2)~,. r ,~ BUREAU OF INDIVIDUAL TAXES r~nr^ ~ '~~ 1 ~~' t~NHERITANCE TAX INHERITANCE TAX DIVISION --.~ _~{~" S;'~/1T E M E N T O F A C C O U N T PO BOX 280601 ~ 1~ ;`~:. M ; `. , W ~ HARRISBURG PA 17128-0601 ' 2009 DEC 29 A~ 10= 33 CI.~R~ CF MARY K LAN~O~'~~~~ `jr Q~~~~p 116 WINSTON DRIVEt~~ MECHANICSBURG PA 17055 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP C12-09) DATE 12-14-2009 ESTATE OF LANTZY LOIS M DATE OF DEATH 07-03-2008 FILE NUMBER 21 08-0744 COUNTY CUMBERLAND ACN 08145212 Amount Remitted 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 1607 E~ A~~~ C12 09~ ~~~ ~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~~* ~~~~~~~~~~ ~~~~~~~~ ~~~ ESTATE OF:LANTZY LOIS M FILE N0.:21 08-0744 ACN: 08145212 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: 10-13-2009 PRINCIPAL TAX DUE: 28.42 PAYMENTS (TAX CREDITS): P DATE T I NUMBER (INTEREST/PENT PAID (-)I AMOUNT PAID INTEREST IS CHARGED THROUGH 12-29-2009 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* TDTAL TAX PAYMENT I .00 BALANCE OF TAX DUE 28.42 INTEREST AND PEN. 1.05 TOTAL DUE I 29.47 * 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.