HomeMy WebLinkAbout02-05-10 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
p0 BOX 28D601
HARRISBURG PA 17128-0601
~~~``1',~ 4 (~ ~"~j~TANCE TAX
~ u~u''C~`T~.~~~~T OF ACCOUNT
2010 FEB -S AM 11 ~ 07
CLERK ~~
rr dRPHAN`S COURT
ALEXIS BOURIN~:~~'~E-!r'~~~ ~~l., ~A:
1171 BOILING SPRINGS RD
MECHANICSBURG PA 17055
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
DATE 02-01-2010
BOURINSKI JOYCE
ESTATE OF
DATE OF DEATH 12-03-2009
FILE NUMBER 21 10-0002
COUNTY CUMBERLAND
ACN 09180003
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.
CUB :~::::::.:: N:........~....:E:::N.:OW~ R~~ ~R~~ ~N~~ ~R~~ ~.R.:::ORD:.....~ .....................
REV-1607 EX AFP C12-09) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BOURINSKI JOYCE FILE N0.:21 10-0002 ACN: 09180003 DATE: 02-01-2010
THIS STATEMENT PROVIDES CURREAyMENTS~,STHE CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPROJECTED INTEREST FIGURE NCIPAL
.~D~rrerrnN OF ALL ~
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-25-2010 41.15
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
RECEIPT DISCOUNT C+)
PAYMENT NUMBER INTEREST/PEN PAID C-)
DATE
CD012188 2.06
12-31-2009
AMOUNT PAID
41.15
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.
43.21
2.06CR
.00
2.06CR