HomeMy WebLinkAbout12-10-10BUREAU OF INDIVIDUdL'-TAXE,~, , ~ ,e ;; t ~ INHERITANCE TAX
INHERITANCE TAX DIVISION a;~-~~~';~.~;°i~ ~ ~` " STATEMENT OF ACCOUNT
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60 NORTHVIEW DR
MECHANICSBURG PA 17050
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DEPARTMENT OF REVENUE '
REV-1607 EX AFP (12-09) !
DATE 12-06-2010
ESTATE OF CICO EVA
DATE OF DEATH 08-22-2009
FILE NUMBER 21 09-1077
COUNTY CUMBERLAND
ACN 09167921
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:CICO
EVA FILE NO.: 21 09-1077 ACN: 09167921 DATE: 12-Ob-2010
THIS STATEMENT PRDVIDES 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: 05-17-2010
PRINCIPAL TAX DUE:
88.14
PAYMENTS (TAX CREDITS:
P DATE T I RNUC BER (INTEREST/PEN PAID (-)I AMOUNT PAID
11-19-2009 CD012006 ~ 4.41
83.73
TOTAL TAX PAYMENT I 88.14
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.
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