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HomeMy WebLinkAbout12-18-09~'"~ r° 1' ;~. 4i~IHERITANCE TAK BUREAU OF INDIVIDUAL TAXES; INHERITANCE TAX DIVISION ~~_ 1~"fi'~1~'EMENT OF ACCOUNT PO BOX 280601 `~ ~ ~ t l '.J W-RRISBURG PA 17128-0601 2~~9 DEC 18 ~~ ~ I ~ 33 CLER'~ ~ C pR~Ht~'S ~C}UR~ THOMAS E FLOWE~U~~~~_~;~._:a~~G !~>~~~ PP' SAIDIS FLOWER LINDSAY 2109 MARKET ST CAMP HILL PA 17011 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (10-09) DATE 11 •• 30 -200'.9 ESTATE OF NAZAY T S DATE OF DEATH 11-16-200'8 FILE NUMBER 21 08-1198 COUNTY CUMBERLAND ACN 101 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 1603 E;C~AFP C10~09) ~~~~ ~** INHERITANCE TAX STA~EME~IT~OF~ACC~UNT~~*!** ~~~~~~~~~ ~~~~~~~ ESTATE OF:NAZAY T S FILE NO.: 21 08-1198 ACN: 101 DATE: 11-30-2009 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 PROJECTgD INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-19-2009 PRINCIPAL TAX DUE: 4,359.76 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 08-25-2009 CD011671 .00 334.89 11-10-2009 CD011987 47.84- 4,072.71 TOTAL TAX PAYMENT 4,359.76 BALANCE OF TAX DUE'. .00 INTEREST AND PEN.' .00 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. n _-