HomeMy WebLinkAbout10-08-10 (5)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
JEAN FLUEVOG
125 PARKVIEW
!INW~E.1~I~('i~C1~~~E TAX
S~'ATEME~N~ OF ACCOUNT
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09) ~~~~~~~
44 '^g 9 (y ~- ,.~ , DATE 10 - 0 4 - 2 010
~'.'~.1~ ~' ~~ '~y' ~~~~ ~ ESTATE OF FLUEVOG JANET
DATE OF DEATH 05-29-2010
_~~ ~",!'~, (.~~^~ FILE NUMBER 21 10-0837
~'~~~': ~:'-~'y ,.~~ ,~ ;~_ `-' `- CUMBERLAND
COUNTY
,M1 ~~-~ ~ r~~~ ACN 10133428
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Amount Remitted
LANSING KS 6b043
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
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:FLUEVOG JANET FILE N0.:21 10-0837 ACN: 10133428 DATE: 10-04-2010
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMhIARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED IIJTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-27-2010
PRINCIPAL TAX DUE:
307.89
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+3 AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-12-2010 CD013208 15.39 292.50
TOTAL TAX PAYMENT ~ 307.89
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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