HomeMy WebLinkAbout07-30-10BUREAU OF INDIVIDUAL TAxFs '~ ~_ ~~~.~ ~~~ INHERITANCE TAX
INHERITANCE TAX DIVISION - - 'J-'rA'TEMENT OF ACCOUNT
PO BOX 280601 _ ,' ~, ,.
HARRISBURG PA 17128-0601
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JACQUELINE r' ' r'-.-_._. _ ~~ , -''~`.
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JAN L BROWN ~ ASSOCIATE
845 SIR THOMAS CT 12
HBG PA 17109
pennsylvan~a ~ ~~-
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
DATE 07-26-2010
ESTATE OF CHASE EDNA S
DATE OF DEATH 02-15-2009
FILE NUMBER 21 09-0255
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:CHASE EDNA S FILE NO.: 21 09-0255 ACN: 101 DATE: 07-26-2010
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: 06-18-2010
PRINCIPAL TAX DUE:
3,442.53
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE
NUMBER
INTEREST/PEN PAID (-~ AMOUNT PAID
09-17-2009 CD011773 .00 2,247.1b
06-17-2010 CD012935 29.62- 1,245.15
07-08-2010 REFUND .00 20.16-
TOTAL TAX PAYMENT ~ 3,442.53
BALANCE OF TAX DUET .00
INTEREST AND PEN. ~ .00
TOTAL DUE
* 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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