HomeMy WebLinkAbout12-18-09BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BDX 280601
HARRISBURG PA 17128-0601
~ ~ ~-(~ ~! STANCE TAX
~"~1'~Itf OF ACCOUNT
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2049 SEC L 8 AM ! 1 ~ 33
CLERK CF
4RPH.R~~'S COURT
WAYNE G FAILOR C~~.~,1R.`~{l f~4!~~;1~ i~(i., PA,
APT 202
2837 N FRONT ST
HARRISBURG PA 17110-1218
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 IX AFP (10-09)
DATE 11-30-2009
ESTATE OF FAILOR KEATHE G
DATE OF DEATH 07-31-2009
FILE NUMBER 21 09-0727
COUNTY CUMBERLAND
ACN 09152635
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~ AFP C10~ 09~ ~~~~~ *** N{NHE~t~~TA~I~CE TAX STATEMENT OF ~ACC~I~NT ~~*~** ~~~~~~~~~ ~~~~~~~~~~
ESTATE OF:FAILOR KEATHE G FILE N0.:21 09-0727 ACN: 091526',35 DATE: 11-30-2009
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BEL.DW 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:
4.07
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-28-2009 SBADJUST .00 4.07
11-05-2009 CD011964 .00 4.07
TOTAL TAX PAYMENT 8.14
BALANCE OF TAX DUE 4.07CR
INTEREST AND PEN. .00
TOTAL DUE I 4.07CR
* 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.