HomeMy WebLinkAbout12-29-09 (4)BUREAU OF INDIVIDUAL TAXES t" ~ '`I'NN~1[~}'TANCE TAX
INHERITANCE TAX DIVISION ~ ~r t]'v STf~T E,M E N T O F AC C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601
2004 DEC 29 AM 10~ 33
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ORPH~iN S ~0~1;T
PAULINE SHELL - '`~' ` -'. ~A,
59 GREENSPRING DRIVE
MECHANICSBURG PA 17050
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 IX 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 08149152
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT WOUSE
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 +~ _ _ _
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REV-1653 EX A~P C1~-09) *** INHERITANCE TAX STA1lEMENT OF ACCOUNT * .......... ~ ...... ~~~
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ESTATE OF:LANTZY LOIS M FILE NO.: 21 08-0744 ACN: 08149152 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: 09-28-2009
PRINCIPAL TAX DUE:
132.54
PAYMENTS CTAX CREDITS):
P DATE T I N MBER (INTEREST/PEN PAID (-)I AMOUNT PAID
INTEREST IS CHARGED THROUGH 12-29-2009 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 132.54
INTEREST AND PEN. 4.90
TOTAL DUE ~ 137.44
* 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.