HomeMy WebLinkAbout11-07-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
;'~ru~~~1(~IEj~t`E`T'i~NCE TAX
BUREAU OF INDIVIDUAL TAXES t"- .
INHERITANCE TAX DIVISION ~'~'il'~AT ~ M E,N T O F A C C O U N T
PO 80X 280601 ~"~'" `'' ` `•' w~ ~ ~ -
HARRISBURG PA 17128-0601 REV-1607 EX AFP C03-05)
Z~0$ ~~~ -7 Pht (~: ~~ATE 10-27-2008
STATE OF ZAGORIC DAVID R
CLERK ~Ji DATE OF DEA TH 07-29-2008
~~,~ C~~~~, FILE NUMBER 21 08-0832
AGORIC ~r^J'~}`,~r`a ~'
~~~ ~ ~
~ COUNTY CUMBERLAND
LINDA Z " ACN 08135639
6401 S WESTSHORE BLVD Amount Remitted
APT 1101
TAMPA FL 33616-1391
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 F-
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REV-1607 EX AFP C03-057 *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF ZAGORIC DAVID R FILE N0. 21 08-0832 ACN 08135639 DATE 10-27-2008
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: 10-14-2008
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
09-08-2008 CD010256~f/ .24 4.71
10-14-2008 SBADJUSTi/ .00 4.71
4.71
TOTAL TAX CREDIT 9.66
BALANCE OF TAX DUE 4.95CR
INTEREST AND PEN. .00
TOTAL DUE 4.95CR
~ IF PAID AFTER THIS DATE, SEE REVERSE
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" CCR),
•--... ...., ar Hilt a RFFIIND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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