HomeMy WebLinkAbout10-08-10BUREAU OF INDIVIDUAL TAXES _ + ~ 1~1~HERITANCE TAX
INHERITANCE TAX DIVISION ~ $~'A~'EMENT OF ACCOUNT
PO BOX 280601 w"' -' '
HARRISBURG PA 17128-0601
4+ w' 7
4- ~h~
-,, ,,
RICHARD E CONN'~LL !`~S~ ~ ~ `'
2303 MARKET ST
CAMP HILL PA 17011
Pennsylvania ~ ?~ .
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-04) ~ ~~~~~~~~'
DATE 10-04-2010
ESTATE OF DOUDEN ORPHA M
DATE OF DEATH 10-29-2009
FILE NUMBER 21 09-1121
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 1607 SEX AFP C12 09)~~~~~~ *** INHERITANCE TAX STATEMENT~UF~ACCOUNT ~***~~~~~~ ~ ~ ~~~~~ ~~~~
ESTATE OF:DOUDEN ORPHA M FILE NO.: 21 09-1121 ACN: 101 DATE: 10-04-2010
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BEL04! 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:
6,233.79
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+3 AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-29-2010 CD012294 292.50 5,557.50
07-29-2010 CD013114 .00 383.79
TOTAL TAX PAYMENT I 6,233.79
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.
~~