HomeMy WebLinkAbout06-04-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO SEA( 240601
HARRISOtHS6 PA 17128-0601
DYAN YINGST
801 PHEASANT RD
HARRISBURG
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PA -17112
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DEPARTMENT OF REVENUE
REY-1607 EX AFP C12-09)
DATE 06-01-2010
ESTATE OF LOTZ JOSEPH S
DATE OF DEATH 10-02-2008.
FILE NUMBER 21 08-1000
COUNTY CUMBERLAND
ACN 101
Asount Rawitt•d
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 fors with your tsx paysont.
- _ YOUR RECORDS
CUT ALONC TMIS LINE RETAIN L E POR ON FOR
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ESTATE OF:LOTZ JOSEPH S FILE NO.: 21 08-1000 ACNs 101 DATES 06-01-2010
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: 05-1?-2010
PRINCIPAL TAX DUE:
4,923.00
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-29-2009 CD011413 .00 5,000.00
05-17-2010 REFUND .00 77.00-
TOTAL TAX PAYMENT I 4,923.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
I TOTAL DUE I .00 I
* 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.
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