HomeMy WebLinkAbout07-16-10BUREAU OF INDIVIDUAL TAXES ,' r ~~'r+~•~~~~~k~~(~~NCE TAX
INHERITANCE TAX DIVISION ~ r ATEM~~'~!JT~ OF ACCOUNT
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CAMP HILL PA 17011-4227
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
DATE 07-06-2010
ESTATE OF EICHELBERGER JANE L
DATE OF DEATH 03-15-2009
FILE NUMBER 21 09-0284
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 X1607 SEX AFP C12 09~ ~ ~ *** INHERITANCE TAX STATEMENT~OF ~ACCUUNT ~~*** ~~~ ~~~~ ~~~ ~ ~~
ESTATE OF:EICHELBERGER JANE L FILE NO.: 21 09-0284 ACN: 101 DATE: 07-Ob-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: 05-10-2010
PRINCIPAL TAX DUE:
5,515.41
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-23-2009 CD012147 .00 5,515.41
06-15-2010 CD012920 6.04- 6.04
TOTAL TAX PAYMENT ~ 5,515.41
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE I .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.
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