HomeMy WebLinkAbout01-03-11~k- Pennsylvania ~~~~
~y~n! ~~~~~~~ ~~~~~,r~; DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAX'E'S ~`,,r'~, :~ INHERITANCE TAX
r ~~;~ (~ REV-1607 EX AFP (12-10)
INHERITANCE TAX DIVISION 4,i ~,..av ~ ~ ~.~, , d~.~ATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
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MARCI S MILL ~"'TM''`-` `' ' `~ ~'~``'`
HAZEN ELDER LAW
2000 LINGLESTOWN RD 2
HARRISBURG PA 17110
DATE 12-27-2010
ESTATE OF BILUNAS JEAN R
DATE OF DEATH 04-10-2009
FILE NUMBER 21 09-0428
COUNTY CUMBERLAND
ACN 101
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:BILUNAS JEAN R FILE N0.:21 09-0428 ACN: 101 DATE: 12-27-2010
THI5 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: 05-17-2010
PRINCIPAL TAX DUE:
21,981.85
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-~
06-29-2009 CD01143b 1,026.32 19,500.00
01-08-2010 CD012218 .00 1,455.53
11-23-2010 CD013711 .00 2,632.83
TOTAL TAX PAYMENT 1 24,614.68
BALANCE OF TAX DUE 2,632.83CR
INTEREST AND PEN. .00
TOTAL DUE
2,632.83CR
* 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.
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