HomeMy WebLinkAbout02-05-10Pennsylvania ~
r. '~ DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDUAL TAXES ~'r ~~ ;~ ~' '„ ~~~11',~~IENT OF ACCOUNT
INHERITANCE TAX DIVISIDN ,... ~"' , ~ y~ ~'
PO BOX 280601 ,?~'~~x,,,r
HARRISBURG PA 17128-0601 O~ Q2-O1-2010
y A~l~: DATE
,t~14~~$ ~ OF BOURINSKI JOYCE
~~~~;~ ~~uR~PA
~~,, ~ ~ 1
ALEXIS BOURI ~.,,~ ,'_ ~ ~~~ '~~
PRING~ RD
1171 BOILING S
MECHANICSBURG PA 17055
ESTATE
DATE OF DEATH 12-03-2009
FILE NUMBER 21 10-0002
COUNTY CUMBERLAND
ACN 09180001
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
_____.. ~ n,.,ro onDTT[IN FOR YOUR RECORDS '~ ~~~~~~~~~~~~~~~~~~~~^
CUT ALONG THIS LINE _
REV 1607 EX AFP C12 09~ ~ ~~~~** INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:BOURINSKI JOYCE FILE N0.:21 10-0002 ACN: 09180001 DATE: 02-01-2010
THIS STATEMENT PROVIDES CURRPAYMENTS~,STHE CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPROJECTED INTEREST FIG REINCIPAL
TAX DUE, APPLICATION OF ALL
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-25-2010 7,10
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
RECEIPT DISCOUNT C+)
PAYMENT NUMBER INTEREST/PEN PAID C-)
DATE
CD012188 .36
12-31-2009
AMOUNT PAID
7.10
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
~ 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.
7.46
.36CR
.00
.36CR
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