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HomeMy WebLinkAbout12-18-09 (2) ~'"~ ";~'".r~ ~~'~~~RITANCE TAX BUREAU OF INDIVIDUAL TAXES ~ ^ INHERITANCE TAX DIVISION ";' Y,g'r~1j;T~~NT OF ACCOUNT PO BOX 280601 ! ;, ~ ~~ i ti,i HARRISBURG PA 17128-0601 ~ y zo~9 o~c ~ s a~+ ii ~ 3~ CLEFK p~ ~(~~,N~~ C0~ ~~~ MARY K LANTZ~UP~i4';~'-`-',! ,~J~L Cn.. PA, 116 WINSTON DRIVE MECHANICSBURG PA 17055 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP C10-09) DATE 11-30-2009 ESTATE OF LANTZY LOIS M DATE OF DEATH 07-03-200'8 FILE NUMBER 21 08-0744 COUNTY CUMBERLAND ACN 08149154 Amount Remitked MAKE CHECK PAYABLE ANDEMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT' HOUSE CARLISLE, PA 1701 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 EX A~~~ (10 09~ ~~~ *** INF~ERITA~I~CE T/UC~ S~A~EME~FIT~OF ACCdUNT ~~*'**~~~~~~~~~~ ~~ ~ ~~~~ ESTATE OF:LANTZY LOIS M FILE NO.: 21 08-0744 ACN: 081491154 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 PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-28-2009 PRINCIPAL TAX DUE: _ 127.83 PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 11-05-2009 CD011959 3.38- 131.21 11-27-2009 SBADJUST .00 .40 TOTAL TAX PAYMENT. 127.83 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ^ IF PAID AFTER THI S 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 SIIDE OF THIS FORM FOR INSTRUCTIONS. __ _ _ _-