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HomeMy WebLinkAbout10-17-08 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE 'INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES INHERITANCE 'TAX DIVISION _ S TAT E M E N T O F AC C O U N T PO BOX 28060:L HARRISBURG PA 17128-0601 REV-16D7 EX AFP (03-05) _ , -, sl• ~ - ,.~,-. ~ i ,~~- r'''ye . DATE 10-06-2008 ~1: _ i ~-4; E •j• ~ d , . t. ESTATE OF DAVIS MILDRED E - DATE OF DEATH 05-20-2007 1r FILE NUMBER 21 07-0546 ~ '"" - -'~~ COUNTY CUMBERLAND ^~ ~ NORA F BLAIR ACN 101 5440 JONESTOWN RD Amount Remitted PO BDX 6216 H;BG PA 17112 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-160.7 EX AFP C03-05) - -------------------- *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF DAVIS MILDRED E FILE N0. 21 07-0546 ACN 101 DATE 10-06-2008 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: 08-04-2008 PRINCIPAL TAX DUE: 88.39 PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID 09-04-2008 CD010227 3.34- 92.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ~ IF PAID AFTER THLS DATE, SEE REVERSE ~ TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF 'TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED. IF 'TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), •--•• ••-•- ~~ .+~~.- ~ ccr„un crE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 88.66 .27CR .00 .27CR