HomeMy WebLinkAbout11-08-10BUREAU OF INDIVIDUAL TAXES i
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INHERITANCE TAX DIVISION ST~TE'M'EWT! ~F ACCOUNT
PO BOX 280601 ~;~ ~ ~ , ~ ;~
HARRISBURG PA 17128-0601
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1817 CREEKVIEW COURT
NEW CUMBERLAND PA 17070
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
DATE 11-01-2010
ESTATE OF JASEK LOIS G
DATE OF DEATH 06-28-2007
FILE NUMBER 21 07-0707
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:JASEK LDIS G FILE N0.:21 07-0707 ACN: 101 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: 08-13-2010
PRINCIPAL TAX DUE:
269.94
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-30-2009 CD012162 .00 2b9.94
10-01-2010 CD013440 27.87- 27.87
TOTAL TAX PAYMENT I 269.94
BALANCE OF TAX DUEL .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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