HomeMy WebLinkAbout10-22-10BUREAU OF INDIVIDUAL TAXES INHERITk~hiCE TAX
INHERITANCE TAX DIVISION STAT-EMENT ,QF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601 '
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STEPHEN D TILEY ESUIR~',~'
5 SOUTH HANOVER STREE
CARLISLE PA 17013
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
DATE 10-18-2010
ESTATE OF DAGEN VERNA M
DATE OF DEATH 03-23-2010
FILE NUMBER 21 10-0414
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 ~ __ _ _
REV X1607 SEX AFP C12 09~~ ~ ~ **~ INHERITANCE TAX STATEMENT OF ACCOUNT ~~*** ~ ~~~~~~ ~~~~~~~~~~
ESTATE OF:DAGEN VERNA M FILE ND.: 21 10-0414 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
7AX DUE, APPLICATION DF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-07-2010
PRINCIPAL TAX DUE:
63,046.36
PAYMENTS (TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-~
06-17-2010 CD012928 3,152.32 60,000.00
09-29-2010 REFUND .00 105.96-
TOTAL TAX PAYMENT ~ 63,046.36
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.