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HomeMy WebLinkAbout07-06-10~,. r ~ ~' ~ ,. BUREAU OF INDIVIDUAL T~~~~)~~ ra-~i ~'tl~~f;, , t INHERITANCE TAX INHERITANCE TAX DIVISION ~ r r'- t~ ~ ',.. ~ ~ c Y r ,. PO eox 280601 .:;,t~~~~~, <,~ ~' STATEMENT OF ACCOUNT HARRIS8UR6 PA 17128-0601 ~L•`'° L _6 P~ Z: 1 f~ ~~~o ~u ~~~ ~~~~ pN ~ ~ ~t~., QA. JEAN D SE I BE ~'~~~~...~ WION ETAL 109 LOCUST ST HBG PA 17101 Pennsylvania DEPARTMENT OF REVENUE REV-1607 EX AFP C12-09) DATE 06-28-2010 ESTATE OF SAMPLE BEVERLY F DATE OF DEATH 02-09-2009 FILE NUMBER 21 09-0176 COUNTY CUMBERLAND ACN 101 Am+~unt Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TOs REGISTIER OF WILLS 1 COUR'fi'MOUSE SQUARE CARL IS'~LE PA 17013 NOTE: To ensure proper credit to your account, submit the' upper portion of this form with your tax payment. CUT FALON~ TrHI~S~LINE ~r~- RETAIN LDWERyPQRTIQN FOR YQ1~1~ RECiORDS ++ ~~Y•~16r8 / ~~~ AI'''~'~~*~~i ~a~~~~~ ~E ~E ~E~ 1~~~~E T~7C 1 1 A~~".~~~G~~~* *1 ~E ~~~~~~~~~~~a~~~~~rlw~~ ESTATE OF:SAMPLE BEVERLY F FILE N0.:21 09-0176 ACN: 101 DATE: 06-28-2010 ~~~ ~ i.~ 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 FI6URE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-26-20.10 PRINCIPAL TAX DUE: 7,175.'38 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 05-08-2009 CD011213 358.77 7,000.00 06-08-2010 REFUND .00 183.39- TOTAL TAX PAYMENT I 7,175.38 BALANCE OF TAX DUE •0© INTEREST AND PEN. .00 I TOTAL DUE I .00 I * IF PAID AFTER THIS DATE, SEf 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.