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HomeMy WebLinkAbout11-08-10 (4)pennsylvania ` ~~ v DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES f",.,Y, i"_~"'-~ , ,I,~L.k~,~R,TTANCE TAX r REV-1607 EX AFP (12-09) INHERITANCE TAX DIVISION -'~ -~~'~'~~~~ OF ACCUUNT PO BOX 280601 ,...~ '~ `, w HARRISBURG PA 17128-0601 ~~- ~.i~i) ~ ,F-.~ ~~ ; ~ . { DATE 11-01-2010 ~~~~l~(~Y _8 ~~ ~: ~~ ESTATE OF LEE ELLEN K DATE OF DEATH 10-09-2009 ~~E~~ ~~ FILE NUMBER 21 09-1149 (~~~-~~~ ~~, R COUNTY CUMBERLAND JAMES LEE r. ,, `~~~'~ ~U~y; ~~ .~ ~,~ ~-~, r,{.F ACN 09169962 1194 IRWIN COURT ~ - ~'-`~ ~~ Amount Remitted WINTER SPRINGS FL 32708 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 SEX AFP C12~ 09~~~.~.~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~~*** ~~ ~~ ~~~ ~~~~ ~~~~ ESTATE OF:LEE ELLEN K FILE NO.: 21 09-1149 ACN: 09169962 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: 163.90 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+3 AMOUNT PAID DATE NUMBER INTEREST/PEN PAID t-) 10-08-2010 CD013469 1.64- 167.00 TOTAL TAX PAYMENT I 165.36 BALANCE OF TAX DUET 1.46CR INTEREST AND PEN. ~ .00 TOTAL DUE I 1.46CRI * 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. L