HomeMy WebLinkAbout01-03-11 (3)Pennsylvania ~~fH~
~'~ i f~ ~~ DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUA '~ ~~ ;_., ,~ ;; INHERITANCE TAX REV-1607 EX AFP c12-lo)
INHERITANCE TAX DIVISION ~ j ±~:' , ~ ~ STATEMENT OF ACCOUNT
PO BOX 280b01
HARRISBURG PA 17128-0601
~.t{~; ..~~~~~ -~ ~;~~ ;~» J t DATE 12-27-2010
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DANIEL C~'U~a~~`PA`ti~'~~t''`~, ~A
70 WEST JUNIPER ST
APT 305
HAZLETON PA 18201
ESTATE OF BONIN MARTHA G
DATE OF DEATH 02-25-2010
FILE NUMBER 21 10-0261
COUNTY CUMBERLAND
ACN 10045597
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~UF ACCOUNT ~~*** ~~~~~~ ~~~~~ ~~~~~~~~
ESTATE OF:BONIN MARTHA G FILE N0.:21 10-0261 ACN: 10045597 DATE: 12-27-2010
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: 12-20-2010
PRINCIPAL TAX DUE:
20,442.35
PAYMENTS tTAX CREDITS):
P DATE T I RNUMBER (INTEREST/PEN PAID C-)I AMOUNT PAID
08-02-2010 CD013149 ~ .00
20,580.34
TOTAL TAX PAYMENT ~ 20,580.34
BALANCE OF TAX DUE 137.99CR
INTEREST AND PEN. .00
TOTAL DUE I 137.99CR
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" [CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.