HomeMy WebLinkAbout10-29-10 (4)BUREAU OF INDIVIDUAL TaxES INHERITI~NCE TAX
INHERITANCE TAX DIVISION S TA T E M E N T` O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601
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JEANNE COOPER = ,
1501 CAMBRIDGE CT
PALMYRA PA 17078-9374
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-04)
DATE 10-25-2010
\~ ESTATE OF MIRRA EDWARD
DATE OF DEATH 02-02-2010
FILE NUMBER 21 10-0281
COUNTY CUMBERLAND
ACN 10131577
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 LIME _ _~_ RETAIN LOWER PORTION FOR YOUR RECORDS -~+~ _ _
REV X1607 SEX AFP~ C12 09~ ~ ~ ~ *** INHERITANCE TAX STATEMENT~UF ~ACCUUNT ~~*** ~ ~~~~~~~~~~~~~~~~~~
ESTATE OF:MIRRA EDWARD FILE N0.:21 10-0281 ACN: 10131577 DATE: 10-25-2010
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: 10-12-2010
PRINCIPAL TAX DUE:
881.00
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+~ AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-~
09-25-2010 CD013414 .00 881.00
TOTAL TAX PAYMENT 881.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.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.
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