HomeMy WebLinkAbout12-29-06 (3)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
PF('(':RGFD OFFICE C'iNHERITANCE TAX
'..'N ---'>;SlfATEMENT OF ACCOUNT
-I ;' ,~. I. '.
*
2006 DEe 29 PH I: 02
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
REV-1607 EX AFP (03-05)
('I ~R1< OF
V.-'- .... ;-~..,r'\l II"'"\T
ORPj,',\i,i'j : ,., i!1
CONNIE L THOMP~Q~.I,', .1", .-'.. Pi\
2712 LISBURN RD
CAMP HILL PA 17011
12-18-2006
THOMPSON
02-14-2006
21 06-0376
CUMBERLAND
06128191
Allount R.lli tt.d
SHIRLEY
J
E
1
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
CUT ALONG THIS LINE
NOTE, T. ...... "OPer cr...t t. your OCCOunt, .....t tho ....r port.on .f .... foro .... yOur fox ......t.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE~ PA 17013
REV-1607 EX AFP (03-05)
---------------------------------------------------------------------------
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
*** INHERITANCE TAX STATEMENT OF ACCOUNT *__
ESTATE OF THOMPSON SHIRLEY J FILE NO.21 06-0376 ACN 06128191 DATE 12-18-2006
T.1S ST.T..... IS PROVID.. TO ADVISE DF T.E CURRENT ST.TUs DF THE ST.TED ACN IN THE NAHEo EST.TE. S.... BELON
IS · SURRARV DF T.E PRlNCIP.L TAX ooE, .PPLICATION DF .LL P.YMENTs, THE CURRENT ..LAHcE, AND, IF .PPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-15-2006
PAYMENTS (TAX CREDITS):
PRINCIPAL TAX DUE, .00
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE~ SEE REVERSE TOTAL DUE .00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1~
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR) ~
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
Cb