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HomeMy WebLinkAbout02-12-07 ,......, r- r-' '-'~, !- ---\ IlNHE~XtANCE TAX STAl-EMENT OF ACCOUNT *' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 REV-1607 EX AFP <03-05) ,),[in~1 Cr.-r; I') L ,:')..1 i L.;.,... '- P" I r- " i : ') 'J- l j . ..... DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-05-2007 GOUSE 10-01-2006 21 06-1050 CUMBERLAND 06157535 WAL TE R E STEVEN L GOUSE 23RD STREET EXT ENOLA PA 17025 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure 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 (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF GaUSE WAL TE R E FILE NO. 21 06-1050 ACN 06157535 DATE 02-05-2007 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, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-18-2006 PRINCIPAL TAX DUE: 65.35 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-01-2006 CD007499 3.27 65.35 01-10-2007 CD007685 .00 3.27 TOTAL TAX CREDIT 71.89 BALANCE OF TAX DUE 6.54CR INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 6.54CR " 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. ) ~