HomeMy WebLinkAbout02-28-11 (6)_,.., _ , ,~. l~,
BUREAU OF INDIVIDUAL ~A~~s,~ ~ ,~. ,./. INHERITANCE TAX
POHBOXT280601~ °IV1S1oN _- ~~',=~ T A T E M E N T O F A C C O U N T
HARRISBURG PA 17128-0601 ~ .
CHARLOTTE ~i1~,~k~S~l 'i_' _'~ ,-,
969 CHARTERHOUSE CT
WESTERVILLE OH 43081
pennsylvan~a ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-10) ~
DATE 02-22-2011
ESTATE OF POZSGAY MAI)ELINE M
DATE OF DEATH 10-29-2010
FILE NUMBER 21 11-0042
COUNTY CUMBERLAND
ACN 10173680
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SWUARE
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 NO.: 21 11-0042 ACN: 10173680 DATE: 02-22-2011
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: 02-07-2011
PRINCIPAL TAX DUE: 337.77
PAYMENTS {TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+] AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
01-07-2011 CD013872 16.89 320.89
TOTAL TAX PAYMENT 337.78
BALANCE OF TAX DUE .O1CR
INTEREST AND PEN. .00
TOTAL DUE
.O1CR
* 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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