HomeMy WebLinkAbout12-17-08BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-D601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
' ~ ' ; -' , ;~ r ~~:_~NT~tERITANCE TAX
STATEMENT OF ACCOUNT
.7'y ~. ., ,._
REV-1607 EX AFP (03-05)
2~L!U ~~~ ~ / i t~ ~~• ~~
KEITH CRISSMAN C~~ ~ )., Ft~
10565 LONGFELLOW TRACE
SHREVEPORT LA 71106
DATE 12-01-2008
ESTATE OF CRISSMAN JACQUELYN Y
DATE OF DEATH 05-21-2007
FILE NUMBER 21 07-0568
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-
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REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF CRISSMAN JACQUELYN Y FILE N0. 21 07-0568 ACN 101 DATE 12-01-2008
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: 11-10-2008
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
26,446.00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
08-14-2007 CD008563 1,322.30 26,203.00
11-12-2008 REFUND .00 1,079.30-
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 81,
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. )
26,446.00
.00
.00
.00