HomeMy WebLinkAbout01-20-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES „~~I+,E~,~;I~,gItE TAX
INHERITANCE TAX DIVISION ~T,j~1T~M~fVT ',(~~ ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601 _ _ --
REV-1607 EX AFP (12-08)
2~~9 J~{~ ?Q P~ I~,~ 01-05-2009
E TE OF ANDROSHICK ROBERT F
DATE OF DEATH 1D-28-2007
.,• ~- ~. r.i-
i,,,'_;~{•',i'•, ~.; FILE NUMBER 21 07-1013
LISA MARIE COYNE ~R~'. ~ ~~~'~;~1~~OUNTY CUUMBERLAND
COYNE & COYNE ~"-' • - '. A~~l 101
3901 MARKET ST Amount Remitted
CAMP HILL PA 17011
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 :his form with your tax payment.
CUT ALONG THIS LINE ---) RETAIN LOWER PORTION FOR YOUR RECORDS ~--
REV-1607 EX AFP C12-OS) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~~*
ESTATE OF ANDROSHICK ROBERT F FILE N0. 21 07-1013 ACN 101 DATE 01-05-2009
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: 12-OS-2008
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
25,767.74
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
01-27-2008 CD009214 1,268.42 24,100.00
08-29-2008 CD010214 .00 379.35
INTEREST IS CHARGED THROUGH 01-20-2009 TOTAL TAX CREDIT
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE
INTEREST AND PEN.
* IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE
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" CCR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
25,747.77
19.97
2.98
22.95