HomeMy WebLinkAbout10-29-10 (5)BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX o1v1S1oN STATEMENT O F A C C O U N T
PO BOX 280b01
HARRISBURG PA 17128-0601
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GA I L G H Q-LA~i't~ N I'-
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1501 CAMBRIDGE CT
PALMYRA PA 17078-9374
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DEPARTMENT OF REVENUE
REV-1607 EX AFP t12-09) +
DATE 10-25-2010
ESTATE OF MIRRA EDWARD
DATE OF DEATH 02-02-2010
FILE NUMBER 21 10-0281
COUNTY CUMBERLAND
ACN 10131579
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 -+~
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REV-1607 EX AFP C12-09~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:MIRRA EDWARD FILE NO.: 21 10-0281 ACN: 10131579 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:
264.30
PAYMENTS (TAX CREDITS:
PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-25-2010 CD01341b .00 264.30
TOTAL TAX PAYMENT 264.30
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
je 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.