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HomeMy WebLinkAbout10-01-10BUREAU 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 Z0~0 ACT - I F'M I~~ ~3 C~6.~1 111 ~~~~~! 1~ ORPH,~~1, S ~"~ , ~, JACQUELIN M VERNEY G~.~:'vE~:~a,1_~,t'',Ir_d !,y;`,.~ , i'~, 44 S HANOVER ST CARLISLE PA 17013-3306 s.__ _._ 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. 1~~~