HomeMy WebLinkAbout12-27-10-"` ~~"~`~3~ ~ INHERITANCE TAX
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
DATE 12-20-2010
ESTATE OF COX PATIRICA A
DATE OF DEATH 11-08-2009
FILE NUMBER 21 09-1065
COUNTY CUMBERLAND
ACN 09174414
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 ALON6_ THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS _~ _ _ _ _ _ _
REV X1607 EX AFP C12 10~ ~~w~~ *** INHERITANCE TAX STATEMENT~OF~ACCOUNT~ *** ~ ~~~ ~~~ ~~ ~~~~w
ESTATE OF:COX
PATIRICA A FILE N0.:21 09-1065 ACN: 09174414 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: 10-18-2010
PRINCIPAL TAX DUE:
11.36
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-20-2010 CD013691 .11- 11.47
12-17-2010 SBADJUST .00 .02
TOTAL TAX PAYMENT I 11.36
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.
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