HomeMy WebLinkAbout12-10-10Pennsylvania ~
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~~"_' .' ~'~r ,c,`., ~" ,. DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ,.,,~~^ ~~',4` ~~TAX
' REV-1607 EX AFP C12-09)
INHERITANCE TAX DIVISION $Tf~~l~,-~IT.~ O,,F CCOUNT
PO BOX 280601 r t ~,,.,
HARRISBURG PA 17128-0601 ~ '"
~Q~QU~I. ~~ ~~Ft~ D TE 12-06-2010
I~TATE OF FEALTMAN DOLORES A
~~~~~ ~~ DATE OF DEATH 03-01-2009
ORPI~rt~,^ ~ r FILE NUMBER 21 10-0080
" ` `° ~ i~f %RT COUNTY CUMBERLAND
MELANIE L SMITH C~E~~~'~r~ ''~~~~ ^~'~ P;4 ACN 101
5510 SILVER CREEK DRIVE Amount Remitted
MECHANICSBURG PA 17050
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:FEALTMAN DOLORES A FILE NO.: 21 10-0080 ACN: 101 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: 09-07-2010
PRINCIPAL TAX DUE:
2,_234_. 38
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-10-2010 CD013637 76.04- 2,310.42
BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-11-20101 TOTAL TAX PAYMENT I 2,234.38
BALANCE OF TAX DUET .00
INTEREST AND PEN. ~ 10.32
TOTAL DUE
10.32
* 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.