HomeMy WebLinkAbout11-14-08 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
-.~ ~ '-," ~'~IiNH'ERITANCE TAX
-;;.~a ~`-; 'S'TAIT~MENT OF ACCOUNT
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CASIMIR DLUGOLEC'KK'~T -
621 MOYER RD
SOUDERTON PA 18964
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
REY-1607 EX AFP C03-05)
l:1-03-2008
DI_UGOLECKI PAUL S
O:1-06-2008
2:L 08-0496
CIMBERLAND
08114999
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 ~-
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REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF DLUGOLECKI PAUL S FILE N0. 21 08-0496 ACN 08114999 DATE 11-03-2008
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: 10-03-2008
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS:
113.74
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
10-06-2008 CD010378 .00 113.74
TOTAL TAX CREDIT
113.74
(BALANCE OF TAX DUE .00
~ INTEREST AND PEN. ~ .00 ~
* IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DLIE I .00
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),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) `~\/v(1