HomeMy WebLinkAbout12-27-10 (2)BUREAU OF INDIVIDUAL TA~ ;' ~~r~ ~ INHERITANCE TAX
INHERITANCE TAX DIVISION "''"~' "`"'~_~"" t`'~ ~~-TEMENT OF ACCOUNT
PO BOX 280601 ~ ,~ ~ ..~~. ' tg1
HARRISBURG PA 17128-0601 ' '~~'°~~ ~ `-°~ {"~~ ~~~` ~~~
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CLERK ~~
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1102 MARKET STREET
UNIT 7
NEW CUMBERLAND PA 17070
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-10)
DATE 12-20-2010
ESTATE OF COX PATIRICA A
DATE OF DEATH 11-08-2009
FILE NUMBER 21 09-1065
COUNTY CUMBERLAND
ACN 09174415
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~OF ACCOUNT ~~*** ~ ~~~~~ ~~~~~~~~~
ESTATE OF:COX
PATIRICA A FILE NO.: 21 09-1Ob5 ACN: 09174415 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:
15.56
PAYMENTS tTAX CREDITS:
PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-22-2010 CD013694 .15- 15.71
12-17-2010 SBADJUST .00 .03
TOTAL TAX PAYMENT 15.56
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" OCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.