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HomeMy WebLinkAbout03-13-09 (12)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 ~~I i REV-1607 EX AFP C12-08) DATE 03-02-2009 ESTATE OF BURTSAVAGE HELEN M DATE OF DEATH 11-01-2008 FILE NUMBER 21 08-1265 COUNTY CUMBERLAND ACN 08155449 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 (12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF BURTSAVAGE HELEN M FILE N0. 21 OS-1265 ACN 08155449 DATE 03-02-2009 THIS STATEMENT IS PROVIDED TO ADVISE DF 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 CTAX CREDITS): 526.99 PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID 01-29-2009 CD010829 26.35 500.64 n ~ _. j -~ _~ ;: '~ - _u, TOTAL TAX CREDIT 0 ~ `~ ~_,._ ~ ?) ' .~. ~ ..'..,,~ J } f, .~,. - _- O ~ . ~.J 526.99 (BALANCE OF TAX DUET .00 I INTEREST AND PEN. I .00 TOTAL DUE I .00 * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN 41, NO PAYMENT IS REgUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )