HomeMy WebLinkAbout03-12-10BUREAU OF INDIVIDUAL TAXES ~ ,Y~HI~'I~TANCE TAX
INHERITANCE TAX DIVISION S TAT H M`EI~1T O F ACC 0 U N T
PO BOX 280601 v_ ~ ~ ' ~ `
HARRISBURG PA 17128-0601 `
JEFFREY L DOUDEN
119 EWE ROAD
2~10?~AR 12 Pik 4~ 08
C~~~~~ ~F
pRp~~S Er'~ ~A~PA
MECHANICSBURG PA 17055
pennsylvania ~~ -~~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09) '
DATE 03-08-2010
ESTATE OF DOUDEN ORPHA M
DATE OF DEATH 10-29-2009
FILE NUMBER 21 09-1121
COUNTY CUMBERLAND
ACN 10003590
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 '~ __ _ _
REV 1607 SEX AFP C12 09 ~~ ~~ *~* INHERITANCE TAX STATEMENT OF ACCOUNT~~***~~~~~~ ~~ ~~ ~~~~~~~
ESTATE OF:DOUDEN ORPHA M FILE NO.: 21 09-1121 ACN: 10003590 DATE: 03-08-2010
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: 03-01-2010
PRINCIPAL TAX DUE:
340.43
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+~
DATE NUMBER INTEREST/PEN PAID (-)
01-29-2010 CD012296 17.02
AMOUNT PAID
323.41
TOTAL TAX PAYMENT 340.43
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE ~ .00
~ 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.