HomeMy WebLinkAbout12-17-10BUREAU OF INDIVIDUAL TAXES ~~~~.i~~~..}L. # ! ANCE TAX
POHBOXT280601~ DIVISION ~~~~ q~"~ , , ~~Q~~~T OF ACCOUNT
HARRISBURG PA 17128-0601
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DONA LEE PATRICK ,K~~~.i~~'D C;~.,
143 SPRING ST
MIDDLETOWN PA 17057
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
DATE 12-13-2010
ESTATE OF PATRICK EMMA M
DATE OF DEATH 03-29-2009
FILE NUMBER 21 09-0370
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 ~ ___ _ _ _
REV X1607 SEX AFP C12 10~ ~ ~~~ *** INHERI~'AI~CE TAX ~SlTATTEMENT~OF ~ACCOUNIl~~*** ~~~~~~ ~~~ ~~~~~
ESTATE OF:PATRICK EMMA M FILE NO.: 21 09-0370 ACN: 101 DATE: 12-13-2010
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: 10-15-2010
PRINCIPAL TAX DUE:
3,322.54
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-14-2010 CD013581 38.92- 3,361.46
TOTAL TAX PAYMENT I 3,322.54
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.