The URL can be used to link to this page

Home My WebLink About88-0243 r, REV. 1543EX (12-861 ,� � �� -�9— CCMA10NVdEkLTN OF P'eNNS�L�v?NIA �j oeaaRTM.eN- oF �cevenue � � '� +�„ INFORMATION NOTICE FILE N0. 21- gD 'c�� EUR[AL' OF �NCIVIDUF.L TAXE$ � . e.�� AND ACN $8013896 c.o. sex e3z� >�� ' � TAXPAYER RESPONSE HARRISBURG, PG 17105-832i �� y ��fi'� �DATE 03-26-88 TYPE JF ACCOUNT: ESTA7E OF GUNNARSON SIGNE � SAVINGS S.S. N0. 165-50-8050 � CHcCKING DATE OF DEATH 01-13-88 ,�_f TRUST COUNTY CUMBERLAND ❑ TIME CERTIFICATE scoTT ELEANOR M THIS IS NOT A TAX BILL 37 HIGHLAND DR CAMP HILL PA 17011 ', F�'',LU(�E "�� .SP�� '. W,IiL RESULfi T1V AS�ES5NIENT' DAUPHIN DEPOSIT BK & T has advised us :hat the ownership of the bank account reported below was transferred to you as a result of the death of the above decedent. This transfer is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling (7171 787-8327. f'r11.!QI.FTF P¢R'(' LI �,iFl f1L� x x � CF� RF�Epc� Cj11C F�tA CTI TIJr; AI�(11 P6VpIFNj IN5?R��GTInR�c � To insure proper credit to your accounc a Account No. 94256659 Date 01-06-83 copy of this natice must accompany your pay- Established ment to the Register or Wills of the county Account Balance 11,268.51 indicated above. Make check payable to: "Register ot Wills, Agent". Fercent Taxable X 50.000 NOTE: If tax payments are made within 3 Amounts Subject to Tax 5,634.26 months of the ciecedent's date of death, you Tax Rate X .15 may deduct a 5% disco,unt of �he tax paid. 845.14 Any inheritance tax,d�l� will �come de�inquent Pote�tial "fax Due nine (9) months after;the dat�'of d�atfi:, PART�', TAXPAYER RESPONSE ' -- � A. � The above information and tax due is correct. � �j You may choose to pay the Register of Wills with this notice to obtain CHECK � a discount or avoid interest. �R � ONE 2. You may awa�i the official assessment trom the Department of Revenue. � �, BLOCK � ONLY B. C� The above asset has been or wiii be reported and paid by the estate fiduciary. '� i L J C. LI The above information is INCORRECT and/or debts and deductions are being claimed. You must complete PART � and/or i31 below. PART� TAX RETURN - TAX CALCULATION OF JOINT/TRUST QCCOUNTS FOR OFFICIAL USE ONLY � AAF PAD Date Established 1 1 ^n .�t R�I.. � � Percent Taxable 3 X I 3 Amount Subject to Tax 4 4 Debts and Deductions 5 5 , Taxable Amount 6 6 Tax Rate 7 X 7 Tax Due 8 8 PART J DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID I I TOTAL (Enter on Line 5 of Tax Caiculation) S Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct and complete. \� � 1�1� �_Cl�✓LQR-31/ d�11 •��-C�-A/l� (�7/�"7) ��3� -��v � � �i 1� �� TAXPAYER SIGNATURE TELEPHONE NUMBER DATE :, �—/�� o. �l��"��` ��n�nnc�r�w��.TH +o� ��n��t��►�r�► � � � b�PAR7MENT DF REV�NUE REv.7162 EX(12.8b� ��E�L/CG�r�� G1YIY�7�LY�k,k��1'��l�E��t�7W��EY�G�I��L�rwX ACN � ASSESSMENT � AMOUNT RECEIVED FROM: CONTROL � NUMBER � ' ssa�.�a�6 �soz ,�� E7_4ano� M. Sc��t 3? }i�,gh�.an3 Driva C�m� H�.1.1., PA ?.701� — FOLD HERE FOLD HERE— ESTATE INFORMATION: � FILE NUMBER �1.-&II-2�3 � NAME OF DECEDENT (LAST) (FIRST) (MI) G'L112riE9�"'SL"}Tl ,.ri�. 31� � DATE OF PAYMENT • Ma�:°.-ch 29 1988 � POSTMARK DATE �'�ct�C�l G� �.��i� COUNTY �11Ttl�Qlr'.�,e'3flC� DATE OF DEATH �FlLiLiZ'l�"� �.3 ��$8 � TOTAL AMOUNT PAID ��'�� g� REMARKS SEAL RECEIVED BY SIGNATURE REGISTER OF WILLS )I1� �N�,� -�� t �i� ��; � ! � � �; � � _ � �� a�. .. � �� rn.v�h+.� K� y�� A .:.m�Vw�-s-..W � � \ ,,..� f \ � � '�.` � � .., �s. 4 � ct' ' � l'� «,, ` `'�. \ u � �\� � • r ` � � ' � �� _ � � n� - , �=� _ �_�s — �._ �, _s � '�'�; 'l;! � i-',��__:i..i:: � cR � � � ,. d� . � �8. . � � � !� � � . �_ � �' � � . �� ' �� - , ��_ i .s, �� - �y �e.', �..,a..�� Q�� , � /��—vc.�zr,�-� �. s s �1� . �p� �D =�C �-� /9'� /�$' -�'c! �sv 5 l) �n N �' �r� j 3 �"� � ��--�1 � , �� . . , �G -� � , � � K _ � �U �Z1 � � n� � � � C7�� CX�Q#' �-"_.'�'�_�, �_ � �- . , � ��. � � , �� `�. eQ � , � " , ��-�.-�--t---�-� --�� , �� r °'v �—�;�_ �'� � �� .�� . - � �� --� c��____��- /�� ✓ ��d /�3 ,�' �� C ti� �8'a / �`� G�� ,� ,,� „-�� c�.� � �' �� ✓�� .�. ._,/,It:-r� � . l� J �'�-91� /�L.�YC,=v� �_� n - r-V��_�_ �� / � _,�,c� �'� • ��1-'l�� REV. 1543EX (12-86) � COMMONWEALTH OF PENNSYLVANIA ' = '�� DE?ARTMENT oF ReveNue -� � • INFORMATION NOTICE FILE N0. 21—�,��'�� BUREAU OF IND�vIDUAL TAXES �"'+��. ��r.-- :t`�;i AND ACN 88017165 P.O. BOX 6327 ��) HARRISBURG, PA 17105-632i `4�`��"�?��r-4'"�' TAXPAYER RESPONSE DATE 04-07-88 TYPE OF ACCOUNT: ESTATE OF GUNNARSON SIGNE � SAVINGS S.S. N0. 165-50-8050 0 CHECKING DATE OF DEATH 01-13-88 ❑ TRUST COUNTY CUMBERLAND ❑ TIME CERTIFICATE scoTT ELEANOR M THIS IS NOT A TAX BILL 37 HIGHLAND DR CAMP HILL PA 17011 '' F�ILURE �� RE.�JPO�� f1I�t 'R�SULT IIV ASSESSM�MT' DAUPHIN DEPOSIT BK & T has advised us that the ownership of the bank acco�nt reported below was transferred to you as a result of the death of the above decedent. This transfer is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by cailing (717f 787-8327. C6MPL�7E PAR7 U BELUW * * * SEE REVER5E SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 39160491 Date 07-16-69 To insure proper credit to your account a Established copy of this notice must accompany your pay- ment to the Register of Wills of the county Account Balance 2,663.89 indicated above. hlake check payable to: X 50.000 "Register of Wilis, AgenY'. Percent Taxable NOTE: If tax payment� are made within 3 Amounts Subject to Tax 1,331.95 months of the decec�erfit's dat�iof deatk�a you Tax Rate X .06 may deduct a 5% dasc�ount of�he ta�c.;(i'did. Potential Tax Due �g,9z Any inheritance tax.due will become--delinquent nine (9) months after, the dat�of death:' PART C TAXPAYER RESPONSE - � A. �I The above information and tax due is correct. � � 1. You may choose to pay the Register of Wills with this notice io obtain - CHECK � a discount or avoid interest. �R � ONE 2. You may await the official assessment from the Department of Revenue. I BLOCK IONLY I B. � The above asset has been or will be reported and paid by the estate fiduciary. L _� C. �( The above information is INCORRECT and/or debts and deductions are being claimed. '`1� You must complete PART [.2I and/or �3 below. PART� TAX RETURN - TAX CALCULATION OF JOINT/TRUST ACCOUNTS FOR OFFICIAL USE ONLY � AAF �,� ��3 PAD Date Established 1 � 1 Account Balance 2 t �� r- ,� r �� I 2 Percent Taxable 3 X �� ' �,c�'� 3 Amount Subject to Tax 4 � 3 � j ' d �� 4 Debts and Deductions 5 �--.��-:- �� 5 r Taxable Amount 6 � ' 6 Tax Rate 7 X ' G' 7 Tax Due 8 ��i � �-� 8 PART� DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAI� �,2. ' � ��/"'�II''y.J.C.it.�C. �'4X-��c�r �'!"�,,,,�,.'L� �T�..`.-'r'K �•zr�.�.' �?.� �fl"rwz. ,Z '�� v'L � `fj' �,,g—'��'t �.�ti,.:w2��..E ht I'�c.t�v-�,�•u. � ;.`h �� -��"' � ') �C' ^'I �'.�' „��.:�c?t�`(J.,&'.:.`Ae.��• `�-"-+ Q...z.l�r �alerz �rx-T Nr�.v�a- �e,:�-: D�a '� 5�{ 1-' G✓"'YJFili: - �S '�,` . £a-4�rNR �O-1 . ti' C t -� �+�3.� r - TOTAL (Enter on Line 5 of Tax Caiculation) S � �� Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct and compiete. C`�� c�-n.R.�v�vt � �Ge�,�" c',��3�—�o�� `�"/�" �r� TAXPAYER SIGNATURE TELEPHONE NUMBER DATE 1 Cp�� REV-1607 EX (12-87) i"� COMMONWEALTH OF PENNSYLVANIA .��d'; ACN DEPARTMENT OF REVENUE �� INHERITANCE TAX 88013896 BUREAU OF INDIVIDUAL TAXES J PO. BOX esz� � STATEMENT OF ACCOUNT HARRISBURG, PA 17105-8327 DATE 04-25-88 ESTA7E OF GUNNARSON SIGNE FILE N0. 21 88-0243 DATE OF DEATH 01-13-88 COUNTY CUMBERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE ADDRESS SHOWN. MAKE CHECK PAYABLE AND REMIT PAYMENT T0: y � SCOTT ELEANOR M REGISTER OF WILLS 37 HIGHLAND DR CUMBERLAND CO COURT HOUSE CAMP HILL PA 17011 CARLISLE, PA 17013 Amount Remitted CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR FILES � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1607 EX (12-87) ** INHERITANCE TAX STATEMENT OF ACCOUNT ** ESTATE OF GUNNARSON SIGNE FILE N0. 21 88-0243 ACN 88013896 DATE04-25-88 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, THE APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-18-88 PRINCIPALTAX DUE:................................................................................................................................................... 338.06 PAYMENTS lTAX CREDITS): PAYMENT RECEIPT DISCOUNT + AMOUNT PAID DATE NUMBER INTEREST (—) 03-28-88 365387 16.90 802.89 � - � _ _- �'.�i , TOTAL TAX CREDITS g19.79 BALANCE OF TAX DUE 481.73CR INTEREST .00 TOTAL DUE 481.73CR * IF PAID AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST (IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED) � �rt REV-1548 EX (12-87) �� COMMONWEALTH OF PENNSVLVANIA "`d�-;� � NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE BUREAU oF INDIVIDUAL raxes `�� APPRAISEMENT, ALLOWANCE OR DISALLOWANCE �b� P.O. BOX 6327 r `�-� OF DEDUCTIONS, AND ASSESSMENT OF TAX ON V HaRR�seuRc, Pa 17 705-8327 JOINTLY HELD OR TRUST ASSETS DATE 04-25-88 ESTATE OF GUNNARSON SIGNE DATE OF DEATH 01-13-88 COUNTY CUMBERLAND FILE N0. 21 88-0243 S.S./D.C. N0. 165-50-8050 ACN 88013896 SCOTT ELEANOR M REMIT PAYMENT TO: 37 HIGHLAND DR REGISTER OF WILLS CAMP HILL PA 17011 CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Amount Remitted CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS ""� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1548 EX (12-87) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 04-25-88 ESTATE OF GUNNARSON SIGNE DATE OF DEATH 01-13-88 COUNTY CUMBERLAND FILE N0. 21 88-0243 S.S./D.C. N0. 165-50-8050 A�N � 880].�,896 TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED �`�..- � � , JOINT OR TRUST ASSET INFORMATION � FINANCIAL INSTITUTION: DAUPHIN DEPOSIT BK & TRUST CO ACCOUNT N0. 94256659 TYPE OF ACCOUNT: ( ) SAVINGS (X ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE - DATE ESTABLISHED O1-06-83 NOTE: TO INSURE PROPER CREDIT TO YOUR Account Balance 11,268.51 ACCOUNT, SUBMIT THE UPPER PORTION Percent Taxabte X 50.000 Amount Subject to Tax 5,634.26 OF THIS NOTICE WITH YOUR TAX Debts and Deductions - '�� PAYMENT TO THE REGISTER OF WILLS Taxable Amount 5,634.26 Tax Rate X .06 AT THE ADDRESS SHOWN ABOVE. Tax Due 338.06 MAKE CHECK OR MONEY ORDER PAYABLE TAX CREDITS: T0: "REGISTER OF WILLS, AGENT." PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST (-) PAYMENT MUST BE MADE BY 10-13-88*. TOTAL TAX CREDIT BALANCE OF TAX DUE 338.06 INTEREST .00 TOTAL DUE 338.06 * IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST (IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED) r� REV-1607 EX (12-87) �� COMMONWE4LTH Of PENNSYLVANIA �-��.� �1�� DEPARTMENT oF ReveNue ,� �' �� . �"��:;! INHERITANCE TAX ACN 88013896 BUREAU OF INDIVIDUAL TAXES P.0. BOX esz� r "•�-� STATEMENT OF ACCOUNT HARRISBURG, PA 17105-6327 DATE 05-09-88 ESTATE OF GUNNARSON SIGNE FILE N0. 21 88-0243 DATE OF DEATH 01-13-88 COUNTY CUMBERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE ADDRESS SHOWN. MAKE CHECK PAYABLE AND REMIT PAYMENT T0: � SCOTT ELEANOR M REGISTER OF WILLS 37 HIGHLAND DR CUMBERLAND CO COURT HOUSE CAMP HILL PA 17011 CARLISLE, PA 17013 Amount Remitted CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR FILES "� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1607 EX (12-87) ** INHERITANCE TAX STATEMENT OF ACCOUNT ** ESTATE OF GUNNARSON SIGNE FILE N0. 21 88-0243 ACN 88013896 DATE05-09-88 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, THE APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-18-88 PRINCIPAL ?AX DUE:................................................................................................................................................... 338.06 PAYMENTS (TAX CREDITS): � PAYMEhT RE�EIPT DISCOUNT +) ' � DATE � NUMBER INTEREST (—) � AFAOUNT PAID 03-28-88 365387 i 16.90 � 321.16 -- � �, - �-r� -r...... i _ I I _ i i - � � � _ I I � I � TOTAL TAX CREDITS 338.06 � BALANCE OF TAX DUE I .00 I INTEREST � .00 � TOTA� �UE .00 * IF PAID AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST (IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED) �r , REV-1548 EX (12-87) �� COMMONWEALTH oF veNNsv�vaNia --�>�a�� NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE r �� BUREAU oF INDIVIDUAL TAXES "�`, '�� -, , �,��°� APPRAISEMENT, ALLOWANCE OR DISALLOWANCE P.O. BOX esz� '"-�'�, •�•�'�`- pF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG, PA 17105-8327 JOINTLY HELD OR TRUST ASSETS DATE 05-24-8$ ESTATE OF GUNNARSON SIGNE DATE OF DEATH 01-13-88 COUNTY CUMBERLAND FILE N0. 21 88-0243 S.S./D.C. N0. 165-50-8050 ACN 88017165 SCOTT ELEANOR M REMIT PAYMENT TO: 37 HIGHLAND DR REGISTER OF WILLS CAMP HILL PA 17011 CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Amount Remitted CUT ALONG THIS LINE �'- RETAlN LOWER PORTION FOR YOUR RECORDS ` - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1548 EX (12-87) NOTICE OF INiHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 05-24-88 ESTATE OF GUNNARSON SIGNE DATE OF DEATH 01-13-88 COUNTY CUMBERLAND FILE N0. 21 88-0243 S.S./D.C. N0. 165-50-8050 ACN 88017165 TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED T_, JOINT OR TRUST ASSET INFORMATION - �' _� _ ._. -, FINANCIAL INSTITUTION: DAUPHIN DEPOSIT BK & TR CO ACCOUNT N0. 39160491 -' TYPE OF ACCOUNT: ( ) SAVINGS (X ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE �-� DATE ESTABLISHED 01-02-83 NOTE: TO INSURE PROPER CREDIT TO YOUR Account Balance 2,663.89 ACCOUNT, SUBMIT THE UPPER PORTION Percent Taxable X 50.000 Amount Subject to Tax l,331.95 OF THIS NOTICE WITH YOUR TAX Debts and Deductions - 844.61 PAYMENT TO THE REGISTER OF WILLS Taxable Amount 487.34 Tax Rate X •06 AT THE ADDRESS SHOWN ABOVE. Tax Due z9'24 MAKE CHECK OR MONEY ORDER PAYABLE TAX CREDITS: T0: "REGISTER OF WILLS, AGENT. " PAYMENT RECEIPT DISCOUNT {+) AMOUNT PAID DATE NUMBER INTEREST (-) I 03-28-88 � 365387 1.46 481.73 TOTAL TAX CREDIT 483.19 BALANCE OF TAX DUE 453.95CR INTEREST .00 TOTAL DUE 453.95CR * IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST (IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED) REV-1607 EX (12-87) �� COMMONWEALTH OF PENNSYIVqNIA � DEPARTMENT oF ReveNue � �� ,��"�I INHERITANCE TAX ACN 88017165 BUREAU OF INDIVIDUAL TAXES � P.O. BOX esz� �"'� "� STATEMENT OF ACCOUNT HARRISBURG, PA 77105-8327 DATE OS-O � S ESTATE OF GUNNARSON SIGNE FILE N0. 21 88-0243 DATE OF DEATH O1-13-88 COUNTY CUMBERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE ADDRESS SHOWN. MAKE CHECK PAYABLE AND REMIT PAYMENT T0: � SCOTT ELEANOR M REGISTER OF WILLS 37 HIGHLAND DR CUMBERLAND CO COURT HOUSE CAMP HILL PA 17011 CARLISLE, PA 17013 Amount Remitted CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR FILES ` - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1607 EX (12-87) ** INHERITANCE TAX STATEMENT OF ACCOUNT ** ESTATE OF GUNNARSON SIGNE FILE N0. 21 88-0243 ACN 88017165 DATE 08-08-88 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, THE APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-17-88 PRINCIPALTAX DUE:................................................................................................................................................... 29.24 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+ AMOUNT PAID DATE NUMBER INTEREST (—) 03-28-88 365387 1.46 481.73 07-21-88 REFUND .00 453.95— — � -__ -;_; I _ i I I TOTAL TAX CREDITS zg,24 BALANCE OF TAX DUE .00 INTEREST .00 TOTAL DUE .00 * IF PAID AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST (IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED)