HomeMy WebLinkAbout11-08-10"'f ~'~'~ r ~ ~=~ I TANCE TAX
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION ~ -STA~EM_ NT OF ACCOUNT
PO BOX 280601 L
HARRISBURG PA 17128-0601 C'^,d u ~ ~.-`~` _ . ; . _. ,
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JAMES LEE ~U~f=~';~rj~ ~i.~,~~ t~(1, P~,
1194 IRWIN COURT
WINTER SPRINGS FL 32708
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
DATE 11-01-2010
ESTATE OF LEE ELLEN K
DATE OF DEATH 10-09-2009
FILE NUMBER 21 09-1149
COUNTY CUMBERLAND
ACN 09169965
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~OF ACCOUNT *** ~~~~~~~~ ~ ~~~~~~~ ~~
ESTATE OF:LEE
ELLEN K FILE NO.: 21 09-1149 ACN: 09169965 DATE: 11-01-2010
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: 09-20-2010
PRINCIPAL TAX DUE:
109.84
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-08-2010 CD013471 1.10- 111.90
TOTAL TAX PAYMENT I 110.80
BALANCE OF TAX DUET .96CR
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.
.96CR
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