HomeMy WebLinkAbout08-20-10BUREAU OF INDIVIDUAL TAXES ~, ~ `{~~'RITANCE TAX
INHERITANCE TAX DIVISION
Po Box 280601 _. "~ ~ -_ ~ ~~~T~MENT OF ACCOUNT
HARRISBURG PA 17128-0601 ~ • ~- ~ - "'-'- -
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JAMES D BOGAR C~,~~~~~__ ~'~ ~ ~•~'~ ~.~~
ONE WEST MAIN ST
SHIREMANSTOWN PA 17011
Pennsylvania . ~
DEPARTMENT OF REVENUE '~
REV-1607 EX AFP (12-09)
DATE 08-16-2010
ESTATE OF WORDEN NANCY A
DATE OF DEATH 11-29-2009
FILE NUMBER 21 10-0153
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:WORDEN NANCY A FILE N0.:21 10-0153 ACN: 101 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 INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: Ob-O1-2010
PRINCIPAL TAX DUE:
2,605.45
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+~ AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-20-2010 CD013074 .00 2,605.45
TOTAL TAX PAYMENT ~ 2,605.45
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE DF' THIS FORM
FDR INSTRUCTIONS.
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