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HomeMy WebLinkAbout05-21-10,.. BUREAU OF INDIVIDUAL TAXES ._ _ ^'" i'KI~L~RITANCE TAX INHERITANCE TAX DIVISION ~ T~i E`~IE N T O F ACC 0 U N T PO BOX 280601 _ _ ~...- ~ - ! HARRISBURG PA 17128-0601 ~~~~'~ ~r i ~ i i \ `J JOHN E SLIKE ESQ~~~4k~ ~~~ ,'~~1' Dr SAIDIS ETAL 2109 MARKET ST CAMP HILL PA 17011 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-09) DATE 05-17-2010 ESTATE OF BOWERMASTER MARY K DATE OF DEATH 08-19-2009 FILE NUMBER 21 09-0847 COUNTY CUMBERLAND ACN 101 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:BOWERMASTER MARY K FILE NO.: 21 09-0847 ACN: 101 DATE: 05-17-2010 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: 05-03-2010 PRINCIPAL TAX DUE: 1.,270.91 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 10-28-2009 CD011922 63.55 1,300.00 05-03-2010 REFUND .00 92.64- TOTAL TAX PAYMENT I 1,270.91 BALANCE OF TAX DUEI .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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. _:1 f