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HomeMy WebLinkAbout05-17-10 ~r. +~~.,~._ „~. _ pen~nsylvania ~ BUREAU OF INDIVIDUAL TAXES ~,i;. t.~,,, ~~ ~IN~IE ANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION ~~': " F;;L~A~~T`~~~~NT} OF ACCOUNT REV-1607 IX AFP C12-09) Po BOX 280601 HARRISBURG PA 17128-0601 ~~~~ ~Y ~ ~ ~~ ~~ ~~ DATE 05-10 -20',10 ESTATE OF CONNOLLY' NICH OLAS ~~~~t~ ~~ DATE OF DEATH 07-14-2009 ,~~.;+r f~~ )t'~ ~ ~j ~ ~~ FILE NUMBER 21 09-0734 :~~._ ~~.a oR ,,-„--~, :r.+~ rf'1 ~~, Ct ` ~ ~` ~` ` COUNTY CUMBERLAND GEORGE M RITER ESQ .%~~ =-~~- ~~ ACN 101 TIMONEY KNOX LLP Amount Remf ted 400 MD DR PO BOX 7544 FORT WASHINGTON PA 19034 MAKE CHECK PA YABLE 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 for with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS _ _ _ REV 1607 EX AFP~ C12 09~ ~~~~~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~ ** ~~~~ ~~~~~~~ ~~~~~~~~ ESTATE OF:CONNOLLY NICHOLAS FILE NO.: 21 09-0734 ACN: 101 DATE: 05-10-2010 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 PROJEC'~ED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: PRINCIPAL TAX DUE: _~c_~nin 15,708.03 PAYMENTS CTAX CREDITS: PAYMENT RECEIPT DISCOUNT C+~ AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 10-09-2009 CD011849 763.16 14,500.00', 04-01-2010 CD012566 .00 444.87', TOTAL TAX PAYMENT 15,708.03 BALANCE OF TAX DU~ .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I' IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~, ~~