HomeMy WebLinkAbout10-22-10BUREAU OF INDIVIDUAL raxES INt{ER~iTANGE TAX
INHERITANCE TAX DIVISION STATEMENT O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601 - _
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SCOTT M DINNER ESQ :.
3117 CHESTNUT ST '
CAMP HILL PA 17011
Pennsylvania ~~ i
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
DATE 10-18-2010
ESTATE OF NIESLEY ELSIE M
DATE OF DEATH 11-21-2009
FILE NUMBER 21 10-0156
COUNTY CUMBERLAND
ACN 101
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:NIESLEY ELSIE M FILE ND.: 21 10-0156 ACN: 101 DATE: 10-18-2010
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX IIUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-04-2010
PRINCIPAL TAX DUE: 1,780.00
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-~
02-17-2010 CD012362 89.00 1,700.00
10-04-2010 REFUND .00 9.00-
TOTAL TAX PAYMENT ~ 1,780.00
BALANCE OF TAX DUE .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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