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HomeMy WebLinkAbout03-13-09 (2)BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT EDWARD M BURTSAVAGE 327 SOMERSET DR SHIREMANSTOWN PA 17011-6539 REY-1607 EX AFP Q 2-08) DATE 03-02-2009 ESTATE OF BURTSAVAGE HELEN M DATE OF DEATH 11-01-2008 FILE NUMBER 21 08-1265 COUNTY CUMBERLAND ACN 08155450 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 (~ --------------------------------------------------------------------------- REV-1607 EX AFP C12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF BURTSAVAGE HELEN M FILE N0. 21 08-1265 ACN 08155450 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: 02-23-2009 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): 907.91 PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID 01-29-2009 CD010829 45.40 862.51 7 1 . 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 S1, NO PAYMENT IS REQUIRED. LF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) N c~ ~ ~ ::.-~ .17 ~ -r, i'; Z . - ~- ~~ ~ , 7 J i ~ 1 '~ _ ' ~ ~ __ ~"' 7 J Q ~ `- j _ r _. ~ ., 907.91 .00 .00 .00