HomeMy WebLinkAbout11-12-10BUREAU OF INDIVIDUAL TAXES ~" ~ i"' r . IN~HE~RITANCE TAX
INNERITANCE TAX DIVISION ,' ~ ,_'$TAT~ 1~ NT OF ACCOUNT
PO BOX 280601 ~ ,_ ,
HARRISBURG PA 17128-0601 ! ~~<<.' .r":., ~ '~,, . , , . ~.
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ROBERT R BLACK {~jj~~~~'~'~I~ ~~{'~~~€f~`~
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CARLISLE PA 17013
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09) ?
DATE 11-08-2010
ESTATE OF BLOSER MARTHA N
DATE OF DEATH 02-11-2010
FILE NUMBER 21 10-0274
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 wii:h 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:BLOSER MARTHA N FILE N0.:21 10-0274 ACN: 101 DATE: 11-08-2010
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 IINTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-07-2010
PRINCIPAL TAX DUE:
3,271.94
PAYMENTS (TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-06-2010 CD012714 110.53 2,100.00
10-12-2010 CD013479 .00 1,061.41
TOTAL TAX PAYMENT I 3,271.94
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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF' THIS FORM
FDR INSTRUCTIONS.