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HomeMy WebLinkAbout12-04-09Pennsylvania ~ t'f'~~fT TANCE TAX DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ~~ s ~,i;~`~ ~~ REV-1607 EX AFP uo-89) INHERITANCE TAX DIVISION ~,+•°~T T ~,M; T O F AC C O U N T Po Box zeaeol ~~~~,~~ HARRISBURG PA 17128-0601 ~' ~ >+~flsA: MARK NEALY 287 AIRPORT RD SHIPPENSSURG LUU~ t1LLr ,4 PM I~ 44 DATE 11-23-2009 ESTATE OF NEALY SHIRLEY M DATE OF DEATH 12-31-2008 FILE NUMBER 21 09-0085 ORPI`iAN'S ~ COUNTY CUMBERLAND ACN 101 Amount Remitted PA 17257 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 TNIS LINE ~__ RETAIN LOWER PORTION FOR YOUR RECORDS _ _ _ REV 1603 EX A~~ C10~ 09) ~~ ~ *** INAE~t~~~'ANCE TAX S~ATEI~E~P1s~OF ACCaI~NT ~~*~ ~~ ~~~~ ~~~~~~~~~~~ ESTATE OF:NEALY SHIRLEY M FILE N0.:21 09-0085 ACN: 101 DATE: 11-23-2009 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: 3,937.28 PAYMENTS (TAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 10-28-2009 CD011909 15.10- 3,956.16 TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 3,941.06 3.78 R .00 3.78 R * 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.