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HomeMy WebLinkAbout03-13-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TaxES INHERITANCE TAX INHERITANCE TAX DIYISION STATEMENT O F AC C O U N T PO BOX 260601 HARRISBURG PA 17128-0601 REY-1607 IX AFP (12-OS) DATE 03-02-2009 ESTATE OF FREISTAK GEORGE R DATE OF DEATH 05-07-2008 FILE NUMBER 21 08-0565 COUNTY CUMBERLAND STEPHANIE KLEINFELTER ACN 101 KEEPER ETAL Amount Remitted 635 N 12TH ST STE 400 LEMOYNE PA 17043 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 ~ --------------------------------------------------------------------------- REV-1607 EX AFP C12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF FREISTAK GEORGE R FILE N0. 21 08-0565 ACN 101 DATE 03-02-2009 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: 11-17-2008 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): 58,033.16 '. 7 PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID ' ~ ~ 08-05-2008 CD010096 2,893.62 ~ 54,978.87 02-05-2009 CD010866 .00 160.67 '_. A 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 61, 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. ) %= ~_ '~_~= r-n s •` t~ ~:~ w ~? W 't) tV t~ GD ~~ a~S f ; _~ C7 ;'' f_'1 _ ;'i3 ,..? - - C ~F ~__, `~ -~' ~ _ . ~r? " : ~; c, ~, --~ ,~~ 58,033.16 .00 .00 .00