HomeMy WebLinkAbout12-10-10 (2)pennsylvania ~ ~.
'~ r''1`~`};;~ ~~~ ;~'~~~'~~~ ~ DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXE'S - - ~' ~` ~~IHERITANCE TAX r~
~ ~, ~ , REV-1607 EX AFP t12-09)
INHERITANCE TAX DIVISION ; ~ul1,~~~ ~ 4it ',~I~~TEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
~~~~ Q~L ~ Q ~~ ~~: ~ 8 DATE 12-06-2010
ESTATE OF CICD EVA
~L~~~ ~~ DATE OF DEATH 08-22-2009
Q~pE~~'~~, ~, ~ J~;~~~- F I L E NUMBER 21 0 9 -10 7 7
j~F~~ ,,~:~, ~.~-~ Q~ COUNTY CUMBERLAND
STEPHEN C' ~'~ ' '~-`'~' ~`- ACN 09168051
8 BARLOW DR
Amount Remitted
EAST BERLIN PA 17316
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 ~ R_ETAIN LOWER PORTION FOR YOUR RECORDS _~ _ _
REV 1607 EX AFP C12 09)~~~~~~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ***~~~~~~~~~ ~ ~~~~~~~~~
ESTATE OF:CICO
EVA FILE NO.: 21 09-1077 ACN: 09168051 DATE: 12-06-2010
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: 05-17-2010
PRINCIPAL TAX DUE:
145.13
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-19-2009 CD012006 7.26 137.87
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" tCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
145.13
.00
.00
.00
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