HomeMy WebLinkAbout10-08-10 (4)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
JEAN FLUEVOG
125 PARKVIEW
- ~ '-.` "`,T N N~ R' I TI~N~~rE TAX
~TATE.M~EN.T~: 0~, ACCOUNT
~{~.. .,,
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
r~7~r ~~~ _~ ~,~~~ ~^; ~ ATE 10-04-2010
~- ESTATE OF FLUEVOG JANET
DATE OF DEATH 05-29-2010
~._~-~ ~ ,-„ ~,_ FILE NUMBER 21 10 - 0837
r'r,`" ~ `~~ -. ``,-. ,, COUNTY CUMBERLAND
., ~ J ACN 10133424
Amount Remitted
LANSING KS 66043
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:FLUEVOG JANET FILE N0.:21 10-0837 ACN: 10133424 DATE: 10-04-2010
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: 09-27-2010
PRINCIPAL TAX DUE:
21.41
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
0$-12-2010 CD013208 1.07 20.34
TOTAL TAX PAYMENT I 21.41
BALANCE OF TAX DUET .00
INTEREST AND PEN. I .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.
.00
~' !~