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HomeMy WebLinkAbout12-27-10 (3),r.. .~~~p~~ ~~~~11~ I TAN C E TAX BUREAU OF INDIVIDUAL TAXES ~~~`~3~ ENT CF ACCOUNT INHERITANCE TAX DIVISION { t ~~~~~~ PO BOX 280601 HARRISBURG PA 17128-0601 ~ t ~~C 2 7 Pty ~ ~ I ~ oR~ ~~c o~ ~~~~~~(~ ~ ~ C~3U~T CAROL A KAU~~MA~~~~~-~'~~D GQ•~ ~~~ 607 WALRADT ST FULTON NY 13069 • ~.. pennsylvan~a`~ ~ DEPARTMENT OF REVENUE REV-1607 EX AFP C12-10) DATE 12-20-2010 ESTATE OF THOMAS ANNA W DATE OF DEATH 09-30-2010 FILE NUMBER 21 10-1093 COUNTY CUMBERLAND ACN 10159670 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~ ~~~~~ *** INHERITANCE TAX STATEMENT~~F ACCOUNT ~~*** ~~~~+~~ ~ ~~~ ~ ~~~ ESTATE OF:THOMAS ANNA W FILE NO.: 21 10-1093 ACN: 10159670 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: 12-10-2010 PRINCIPAL TAX DUE: 22.82 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-03-2010 CD013590 1.14 38.74 TOTAL TAX PAYMENT 39.88 BALANCE OF TAX DUE 17.06CR INTEREST AND PEN. .00 TOTAL DUE ~ 17.06CR * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" OCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.