HomeMy WebLinkAbout01-30-09BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
LISA MARIE COYNE
COYNE ~ COYNE
3901 MARKET ST
CAMP HILL
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.. iNWfRITANCE TAX
STATEMENT OF ACCOUNT
~ ~i -. ~ .,
REV-1607 EX AFP (12-OB)
L'1~!9 ~~~ ~O N~ ~L: 27 DATE 01-20-2009
ESTATE OF ANDROSHICK ROBERT F
DATE OF DEATH 10-28-2007
r~Fi;~~ r~r FILE NUMBER 21 07-1013
O~Fi~~':l~i t CO~•J~jT COUNTY CUMBERLAND
_• -`
CUi~'r~ :r , ~,r1 , ` ACN
' ' ~~~ 101
Amount Remitted
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 this form with your tax payment.
CUT ALONG THIS LINE ~) RETAIN LOWER PORTION FOR YOUR RECORDS •~
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REV-1607 EX AFP C12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT *~*
ESTATE OF ANDROSHICK ROBERT F FILE N0. 21 07-1013 ACN 101 DATE 01-20-2009
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: 12-08-2008
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
01-27-2008 CD009214 1,268.42 24,100.00
08-29-2008 CD010214 .00 3'79.35
12-30-2008 CD010715 2.92- 22.89
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.
( IF TOTAL DUE IS LESS THAN 81,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR),
YDU MAY BE DU A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
25,767.74
25,767.74
.00
.00
.00
~' ~
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