HomeMy WebLinkAbout02-11-11(~~(.?C~''~`~ ~ ~1`! TANCE TAX
BUREAU OF INDIVIDUAL TAXES ~~L~-l,':: 4,=,
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INHERITANCE TAX DIVISION r err
fir; ~'~STA~~~NT OF ACCOUNT
PO BOX 280601 i ;r,, ,_ ,,,, _„ r ..Yr ,1
HARRISBURG PA 17128-0601 `""`"f
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JAMES W KOLLAS ~~~~'i~' ~~~~,',' ~ "~'~
1104 FERNWOOD AVE
CAMP HILL PA 17011
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
~.-, -,--
pennsylvania~~~~~a
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10) !
02-07-2011
BOURDETTE BARBARA S
07-25-2010
21 10-0777
CUMBERLAND
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 w~:th your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
................................................................................................................
REV-1607 EX AFP C12-10~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BOURDETTE BARBARA S FILE NO.: 21 10-0777 ACN: 101 DATE: 02-07-2011
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: 12-06-2010
PRINCIPAL TAX DUE: 15,324.14
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-06-2010 CD013458 699.14 13,283.58
01-04-2011 CD013857 .00 1,341.42
TOTAL TAX PAYMENT 15,324.14
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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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