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HomeMy WebLinkAbout09-24-10 (2)BUREAU OF INDIVIDUAL TAXES ,° f t. ~~~,~N`:I~RITANCE TAX INHERITANCE TAX DIVISION I ~_'....'.~ ~ __ :S'TAT'EMENT OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 2~l~ SEA' 24 P~~ 12~ 52 CLERK CF oRP~a~~s ~~~~ ~~r;~.. ~. ,~~ ~~r L;;~1, ,~ JACQUELIN M VERN 44 S HANOVER ST CARLISLE PA 17013-3306 pennsylvania ~ . DEPARTMENT OF REVENUE REV-1607 EX AFP (12-09) DATE 09-20-2010 ESTATE OF ORLOWSKY JAMES M DATE OF DEATH 04-18-2010 FILE NUMBER 21 10-0503 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-1607 EX AFP C12-09~ *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:ORLOWSKY JAMES M FILE NO.: 21 10-0503 ACN: 101 DATE: 09-20-2010 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: 09-13-2010 PRINCIPAL TAX DUE: 40,442.90 PAYMENTS CTAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 07-07-2010 CD013029 1,129.10 21,452.92 PAYMENT MUST BE MADE BY 01-19-2011*. TOTAL TAX PAYMENT ~ 22,582.02 BALANCE OF TAX DUET 17,860.88 INTEREST AND PEN. ~ .00 TOTAL DUE 17,860.88 * 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.