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HomeMy WebLinkAbout02-28-11 (3)BUREAU DF INDIVIDUAL 7A)C~S ~i'. ~_ `^~~" INHERITANCE TAX INHERITANCE rAx DIV1s1oN ~ - !!, ',~~ STATEMENT O F A C C O U N T PD BOX 280601 - HARRISBURG PA 17128-0601 ~~I ~ ~. ;~'.~ n ~. CHARLOTTE ',~k~ °~~..:~_:~ ~,.~., t":~. 969 CHARTERHOUSE CT WESTERVILLE OH 43081 i Pennsylvania ~ DEPARTMENT OF REVENIJE REV-1607 EX AFP (12-10) DATE 02-22-2011 ESTATE OF POZSGAY MADELINE M DATE OF DEATH 10-29-2010 FILE NUMBER 21 11-0042 COUNTY CUMBERLAND ACN 10173681 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-1607 EX AFP (12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:POZSGAY MADELINE M FILE N0.:21 11-0042 ACN: 10173681 DATE: 02-22-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELDW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PRDJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-07-2011 PRINCIPAL TAX DUE: 337.78 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 01-07-2011 CD013875 16.89 320.89 TOTAL TAX PAYMENT 337.78 BALANCE OF TAX DUE .00 INTEREST AND PEN. TOTAL DUE .00 .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.