HomeMy WebLinkAbout07-23-10BUREAU OF INDIVIDUAL TAXES f~~N#~&~'~~TANCE TAX
INHERITANCE TAX DIVISION _~ ;STATEMENT O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601 ~~~
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AMY M MOYA ~,' ~ ~ '~'^
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5011 LOCUST LANE
HARRISBURG PA 17109
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
DATE 07-19-2010
ESTATE OF BAILEYS EMMA
DATE OF DEATH 05-02-2009
FILE NUMBER 21 09-0709
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 ~
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REV-1607 EX AFP C12-09~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BAILETS EMMA FILE NO.: 21 09-0709 ACN: 101 DATE: 07-19-2010
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: 07-06-2010
PRINCIPAL TAX DUE:
16,157.19
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-29-2009 CD011548 807.86 15,400.00
07-06-2010 REFUND .00 50.67-
TOTAL TAX PAYMENT 16,157.19
BALANCE OF TAX DUE .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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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