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HomeMy WebLinkAbout12-27-10BUREAU OF INDIVIDUAL T~"~ `'4-'~~~ !~~~~~ INHERITANCE TAX INHERITANCE TAX DIVISION ~~~~~~~~-; ~'f~ '~~#p~ ~~ATEMENT OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 ~~? 1 ~ ~~:~ 2? P~ l ~ ! ~ C~.~R~C QF 11tt(~R-~'~ ~~URT DIANE ~~F~~~~~$~ C~., PA, 6349 STEPHENS CROSSING MECHANICSBURG PA 17050 >~. pennsylvan~a ~:F ~ DEPARTMENT OF REVENUE REV-1607 EX AFP C12-10) DATE 12-20-2010 ESTATE OF KOUMPIAS DIMOSTENI G DATE OF DEATH 06-09-2010 FILE NUMBER 21 10-1087 COUNTY CUMBERLAND ACN 10157548 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~ ~~w~~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~~*** ~~~ ~~ ~~ ~~~~~ ESTATE OF:KOUMPIAS DIMOSTENI G FILE N0.:21 10-1087 ACN: 10157548 DATE: 12-20-2010 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, 7HE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-29-2010 PRINCIPAL TAX DUE: 21.59 PAYMENTS tTAX CREDITS): I P DATE T I NUMBER (INTEREST/PEN PAID (-~l AMOUNT PAID I 11-02-2010 CD013584 ~ .00 21.59 TOTAL TAX PAYMENT 21.59 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE I .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.