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HomeMy WebLinkAbout06-20-08COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE - ' ~~- ~ ,INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES ` ` INNERITANCE rax DIV1S1oN $ TAT E M E N T O F AC C O U N T PO BOX 28'.0601 ~` ;_ ',, ~ _ , HARRISBUR'.G PA 17128-0601 ,~,~~~ ~,,,~., 2~ P 3~ ~ 3 r~• t C C" ~ (~, r- KARL M LEDEBOHM ~.Q ~~~' PO BOX 173 NEW CUMBERLAND PA 17070 REV-1607 EX AFP (03-05) DATE 06-09-2008 ESTATE OF OBERHOLTZER III SAMUEL M DATE OF DEATH 07-05-2007 FILE NUMBER 21 07-0685 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: 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 C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF OBERHOLTZER III SAMUEL M FILE N0. 21 07-0685 ACN 101 DATE 06-09-2008 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 DR RECORD ADJUSTMENT: 04-21-2008 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID 09-05-2007 CD008646 1,109.42 21,D79.00 02-27-2008 CD009353 .00 751.25 05-06-2008 CD009678 .24- 39.83 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. * IF P,4ID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED. IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 22,979.21 22,979.26 .05CR .00 .05CR