HomeMy WebLinkAbout02-05-10 (3)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
l R` ~,~~~ ~T~ bF ACCOUNT
:... ,IC.~~i1 G,~,
t
Z~E~ ~~~ -~ ~~ ~ ~ ~ d~
CLERK ~~
VANESSA BOURINSK~;(~(~s?`~ SE,}~f'j ~;~„ FA,
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 09179998
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.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS __'~
~~~~~~~~7 EX AFP C12 09) ~~~ ~ ~*~ INHERITANCE TAX STATEMENT~OF ACCOUNT *~~~~~~~~~~•^• •• ••^
REV-160
ESTATE OF:BOURINSKI JOYCE FILE N0.:21 10-0002 ACN: 09179998 DATE: 02-01-2010
THIS STATEMENT PROVIDES CURRENyMENTS~,STHE CURRENTTBALANCEINANDE IFMAPPLICABLE.BALPROJE TED INTEREST FIGUREINCIPAL
TAX DUE, APPLICATION OF ALL ~A
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-25-2010 6.86
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
RECEIPT DISCOUNT C+)
PAYMENT NUMBER INTEREST/PEN PAID (-)
DATE
CD012186 .34
12-31-2009
AMOUNT PAID
6.86
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THREFLECTEDSAS AE"CREDITID CCR)R YOUCMAYTBENDUE ADREFUNDALSEETREVERSE SIDE OF THIS FORM
IF TOTAL DUE IS
FOR INSTRUCTIONS.
7.20
.34CR
.00
.34CR