HomeMy WebLinkAbout06-25-07
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BUREAU OF INDIVIDUAL TAXES-'C;)_:-ULl)
INHERITANCE TAX DIVISION
PO BOX 280601
HARRIS8URG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
I INHERITANCE TAX
..STATEMENT OF ACCOUNT
REV-1607 EX AFP (03-05)
2007 JUN 25 PM 3: 57
06-11-2007
MOORE
09-27-2006
21 06-1152
CUMBERLAND
06156612
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
CLERK OF
ORPHA' J'() l'i)llRT
I /\j\J .~) VI", J."
SUSAN M A~~BV' If"'! .CI~
4715 SEARS RUN DR
MECHANICSBURG PA 17050
CARRIE
E
]
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
CUT ALONG THIS LINE
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE, T. ,..",. ".,., o""t t. y.", 'oo.".t, '"o"t to. ""., ,.'ti.. ., th'. ,.,. "th y.", t.. ,.y...t.
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-+
RETAIN LOWER PORTION FOR YOUR RECORDS
+-
REV-1607 EX AFP (03-05)
*** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF MOORE
CARRIE
M FILE NO. 21 06 -1152
ACN 06156612 DATE 06-11-2007
THI' 'TATENENT " 'ROVIOEO TO AOVI'E OF THE CURRENT 'TATU, OF THE 'TATED ACN IN THE NANED E'TATE. 'HOWN BELOW
" A 'UNHARY OF THE 'RINCI'AL TAX DUE, A"LICATION OF ALL 'AYHENI', THE CURRENT BALANCE, ANO, IF A"LICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT:
05-30-2007
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
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 LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU HAY BE DUE A REFUND. 'EE REVER'E "DE OF THI' FORH FOR IN'TRUCTION'. ,
%
M
.00
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