HomeMy WebLinkAbout12-08-08BUREAU OF INDIVIDUAL. TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
' `.~..~' ~ =.~ 1 ~'~FINERITANCE TAX
<~ _ ~ ST~T~:MENT OF ACCOUNT
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JEFFREY A PRIMENTEL
111 S 2ND ST
WORMLEYSBURG PA 17043
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
REV-1607 EX AFP (03-05)
l:1-24-2008
L1=FTWICH MARJORIE D
04-15-2008
2:l 08-0489
CIMBERLAND
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 F-
REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *~~
ESTATE OF LEFTWICH MARJORIE D FILE N0. 21 08-0489 ACN 101 DATE 11-24-2008
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: 09-22-2008
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
2,598.00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT (PAID
07-07-2008 CD009979 129.54 2,461.30
10-10-2008 CD010404 .00 7.16
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST ANII PEN.
* IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DIIE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
2,598.00
.DO
.00
.00
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