HomeMy WebLinkAbout09-17-10BUREAU OF INDIVIDUAL TAXES;~n~r~ '~~' rrI-I~~[. ~iHERITANCE TAX
INHERITANCE TAX DIVISION ~~° - _~ ~~'~Ac.`TEMENT OF AGCOUNT
PO BOX 280601 ~',~~ ~ ~~ i a ~-~,
HARRISBURG PA 17128-0601
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CAMP HILL PA 17011
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
DATE 09-13-2010
ESTATE OF ROTZ JR CALVIN B
DATE OF DEATH 01-20-2010
FILE NUMBER 21 10-0084
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~ACCOUNT~~*~* ~~~~~~~~~~~~~~~~~~~~
ESTATE OF:ROTZ JR CALVIN B FILE NO.: 21 10-0084 ACN: 101 DATE: 09-13-2010
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: 08-16-2010
PRINCIPAL TAX DUE:
3,780.50
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
04-11-2010 CD012606 189.03 3,780.50
08-27-2010 REFUND .00 189.03-
TOTAL TAX PAYMENT ~ 3,780.50
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 OF THIS FORM
FOR INSTRUCTIONS.
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