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HomeMy WebLinkAbout08-20-10_-I ~.-,;~~ --. ~M_~,n; ~ Pennsylvania ~ ~? ' '` ~• 1' DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES _ ;; _'- s HERITANCE TAX REV-1607 1.X AFP C12-09) INHERITANCE TAX DIVISION ' '-`-•' ~~~ ~'~ -~ STk'~EMENT OF ACCOUNT PO BDX 280601 HARRISBURG PA 17128-0601 C~ E~'~~ r~~w 1; ; i ~' .} ~~ EMILY G MCAULLIFE 55 W VIEW CARLISLE PA 17013 DATE 08-16-2010 ESTATE OF ORLOWSKY JAMES M DATE OF DEATH 04-18-2010 FILE NUMBER 21 10-0503 COUNTY CUMBERLAND ACN 10136452 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 _ ~ _ _ _ _ _ """""""""""""" "'~' * * *~ INHERITANCE TAX STATEMENT OF ACCOUNT ~* * * `~ "~~'~ ~ ~ "~~ ~~ REV-1607 EX AFP C12-09~ ESTATE OF:ORLOWSKY JAMES M FILE NO.: 21 10-0503 ACN: 10136452 DATE: 08-16-2010 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 IPJTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-09-2010 PRINCIPAL TAX DUE: 5,896.12 PAYMENTS CTAX CREDITS: PAYMENT RECEIPT DISCOUNT (+~ AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-~ 07-07-2010 CD013028 294.79 5,601.00 08-09-2010 SBADJUST .00 .33 TOTAL TAX PAYMENT 5,$9b.12 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 A5 A "CREDIT" tCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF' THIS FORM FOR INSTRUCTIONS. J~~~ r