HomeMy WebLinkAbout10-01-10 (2)BUREAU OF INDIVIDUAL TAXES ;.~V.'~"~~'~`y~~-^~fNH~~'~~}~'ANCE TAX
INHERITANCE TAX DIVISION ~,$,~;'r~M~l~l;~ OF ACCOUNT
PO BOX 280601 ~ to ~ '~ ~ ~ ; ~~;~, , ~ ~ ...
HARRISBURG PA 17128-0601
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JACQUELIN M VERNEY G~.~:'vE~:~a,1_~,t'',Ir_d !,y;`,.~ , i'~,
44 S HANOVER ST
CARLISLE PA 17013-3306
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pennsylvania ' ~ ~ ~~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09) ~ ~~~~ ~~~
DATE 09-27-2010
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 X1607 EX AFP C12 09~~~~~ ~ *** INHERITANCE TAX STATEMENT OF ~ACCUIlNT ~~*** ~~ ~ ~~~~~ ~~~~~~~~~~
ESTATE OF:ORLOWSKY JAMES M FILE NO.: 21 10-0503 ACN: 101 DATE: 09-27-2010
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 (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTERESTlPEN PAID C-)
07-1b-2010 CD013066 2,022.14 38,420.75
09-24-2010 SBADJUST .00 .O1
TOTAL TAX PAYMENT I 40,442.90
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
I TOTAL DUE I .00
* 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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