HomeMy WebLinkAbout10-15-10BUREAU OF INDIVIDUAL TAXES ,~` r ~~ ,-~~H~RITANCE TAX
INHERITANCE TAX DIVISION ST.A'f~N4~NT OF ACCOUNT
PO BOX 280601 _ _ --
HARRISBURG PA 17128-0601
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WILLIAM R KAUFMAN `'~,~Q
940 CENTURY DR
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MECHANICSBURG PA 17055-4376
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09) ~
DATE 10-12-2010
ESTATE OF LANCE MARY JANE
DATE OF DEATH 08-22-2009
FILE NUMBER 21 09-0840
COUNTY CUMBERLAND
ACN 101
Amount Remitteci
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 ACCOUNT ~~***~~~~~~~~~~~~~~~~~~~~~~
ESTATE OF:LANCE MARY JANE FILE NO.: 21 09-0840 ACN: 101 DATE: 10-12-2010
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: 08-23-2010
PRINCIPAL TAX DUE:
799.43
PAYMENTS CTAX CREDITS3:
PAYMENT RECEIPT DISCOUNT ~+~ AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-19-2009 CD012011 39.97 1,000.00
09-22-2010 REFUND .00 240.54-
TOTAL TAX PAYMENT I 799.43
BALANCE OF TAX DUEI .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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