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HomeMy WebLinkAbout06-21-10BUREAU OF INDIVIDUAL TAXEtS~`~''' ~~` r~ ~'1r° ~.,~ _ ~ t,~ NHERITA~i~~ TIC INHERITANCE TAX DIVISION ~~~r~r~~~ E ;,_ ~i~~ TEMENT OF ACCOUNT PO SOX 288601 L + , ~i~. ^ , HARRIS8UR6 PA 17128-0601 1~t4 JU~i ~ I FM ~ ~ ~~ ~~ CLAIRE ~ C~,, P~,_ 658 COLONIAL VIEW ROAD MECHANICSBURG PA 17055 penn~ylvania DEPARTMENT OF REVENUE REV-1607 EX AFP C12-09) DATE 06-07-2010 ESTATE OF PUSEY JOHN H DATE OF DEATH 12-14-2009 FILE NUMBER 21 10-0505 COUNTY CUMBERLAND ACN 10122541 Amount Romittad MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ansura propor crodit to your account, submit the upper portion of this forty with your tsX psymont. CUT ALONG THIS LI E ~ _R;ETAIN LOWER PORTIQN FOR Y©UR RECORDS ESTATE OFsPUSEY JOHN H FILE NO.s 21 10-0505 ACN: 10122541 DATE: 06-07-2010 THIS STATEMENT PROVID~S CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION bF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-01-2010 PRINCIPAL TAX DUE: 253.82 PAYMENTS CTAX CREbITS): P DATE T I 'NUMBER IINTEREST% EN PAID C-)I AMOUNT PAID I 05-13-2010 CD012749 ~ .00 253.82 TOTAL TAX PAYMENT ~ 2.53.82 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 I TOTAL DUE I .00 * IF PAID AFTER THI$ DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~1