HomeMy WebLinkAbout12-27-10 (2)BUREAU OF INDIVIDUAL TAXES ~~'~'~~ +~~~% ' d~ANCE TAX
INHERITANCE TAX DIVISION ~~~~{`'L`~'"~T QF ACCOUNT
PO BOX 280601 ~ ~ ~.`,~`~~ +.,~1 r a ~_~,,,~~
HARRISBURG PA 17128-0601
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DIANE FAUTI~ ~~~~~~',~,;, P~,
6349 STEPHENS CROSSING
MECHANICSBURG PA 17050
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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 10157550
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
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~ ~~~~~ *** INHERITANCE TAX STATEMENT OF ACCOUNT~~***~~~...~~~~~~~~~~~~~~~
ESTATE OF:KOUMPIAS DIMOSTENI G FILE N0.:21 10-1087 ACN: 10157550 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, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-29-2010
PRINCIPAL TAX DUE:
34.05
PAYMENTS tTAX CREDITS):
P DATE T I NU BER ,INTEREST/PEN PAID C-)' AMOUNT PAID
11-02-2010 CD013584 ~ .00
34.05
TOTAL TAX PAYMENT 34.05
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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