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HomeMy WebLinkAbout03-13-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX ~ i~ INHERITANCE TAX DIVISION STATEMENT O F AC C O U N T PO BOX 280601 HARRISBURG PA 17128-0601 REY-1607 EX AFP C12-OB) DATE 03-02-2009 ESTATE OF BURTSAVAGE HELEN M DATE OF DEATH 11-OL-2008 FILE NUMBER 21 08-1265 COUNTY CUMBERLAND LINDA J MCCARR ACN 09103175 5 E MAIN ST Amount Remitted MECHANICSBURG PA 17055 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 BURTSAVAGE HELEN M FILE N0. 21 08-1265 ACN 09103175 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: 02-17-2009 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): 25.05 PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 01-29-2009 CD010830 1.25 23.80 C7 -~: `,-- ~~ -_.7 :': -~ _ 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 S1, 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. ) :tea ca ~ ~ ": t7 7 ~~f~~ =a ~, . ,.~ r-~ _ ~ _':'[7 ' ~: ca _ ' _.. .~ ~ - - r 3 (V - '' J _. _ F'T7 n ) i `) "~ , 25.05 .00 .00 .00 ~~'