HomeMy WebLinkAbout02-13-09BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
WILLIAM L ADLER
125 LOCUST ST
HBG
REY-1607 EX AFP (12-OS)
DATE 02••02-2009
ESTATE OF DAM S JACK W
DATE OF DEATH 05-23-2008
FILE NUMBER 21 08-0657
COUNTY CUMBERLAND
ACN 10:1
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 (12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF DAM S JACK W FILE N0. 21 08-0657 ACN 101 DATE 02-02-2009
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 (TAX CREDITS):
20,095.75
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
08-14-2008 CD010141 1,004.79 28,000.00
01-16-2009 REFUND .00 8,9D9.04-
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 $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. )
COMMONWEALTH OF PENNSYLVANIA
~, ~~?E~,~R~.MENT OF REVENUE
r ,-,.;1 ~
~ `-'~ ~-~' ~ ' ~•NH~RITANCE TAX
r'i~t~~;'`;;' ~ ~~5%fA`~EMf NT OF ACCOUNT
2049 ~E.B l 3 P~1 L ~ ~+ l
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PA 17101
20,095.75
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