HomeMy WebLinkAbout07-14-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES `~I~!I;NERITANCE TAX
INHERITANCE TAX DIVISION ~'i`.ti, '~ '~,StATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
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129 E ORANGE ST
LANCASTER PA 17602
REV-1607 EX AFP {p3-05)
DATE 06-30-2008
ESTATE OF DERVISEVIC SARA
DATE OF DEATH 09-26-2006
FILE NUMBER 21 06-0919
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 E'er
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REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF DERVISEVIC SANA FILE N0. 21 06-0919 ACN 101 DATE 06-30-2008
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 OR RECORD ADJUSTMENT: 05-05-2008
PRINCIPAL TAX DUE:
617.07
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
02-05-2008 WRITEOFF .00 29.67
02-15-2008 CD009311 .00 459.57
05-28-2008 CD009811 4.26- 161.76
06-27-2008 SBADJUST .00 .03
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
~ IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN S1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
--• -- ~~~~ ooniun- sEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
617.07
.00
.00
.00