HomeMy WebLinkAbout10-08-10 (6)-~ ~ -
BUREAU OF INDIVIDUAL TAXES r. ~ -t_~H~~~~t~_l~l-~NCE TAX
INHERITANCE TAX DIVISION -;-' STA,T~ME•NT'~' OF ACCOUNT
PO BOX 280601 ~.:.,: _ ._
HARRISBURG PA 17128-0601
~'~ ~ ~ ~~? -'tom ~ ~ ~ ~~
JEAN FLUEVOG ~4 n ~~i~_ ~'",
125 PARKVIEW
LANSING KS b6043
penns~rlvania °~
DEPARTMENT OF REVENUE
REV-1607 E:~C AFP C12-09) ~ ~~ ~~~
DATE 10-04-2010
ESTATE OF FLUEVOG JANET
DATE OF DEATH 05-29-2010
FILE NUMBER 21 10-0837
COUNTY CUMBERLAND
ACN 10133434
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 THI_S__LINE _ ~_ RETAIN LOWER PORTION FOR YOUR RECORDS _~ __ __ _ _
~~~~~~~~~~~~~~~ ~~~~~~~~~ ~~~~ ~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~ *** ~~~~~~~~ ~ ~~~~ ~~
REV-1607 EX AFP t12-09~
ESTATE OF:FLUEVOG JANET FILE NO.: 21 10-0837 ACN: 10133434 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 IIVTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-27-2010
PRINCIPAL TAX DUE:
150.63
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-12-2010 CD013208 7.53 143.10
TOTAL TAX PAYMENT I 150.63
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
* 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.
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