HomeMy WebLinkAbout03-13-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL rnxES INHERITANCE TAX ~ .~
INHERITANCE TAX DIYISION STATEMENT O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601 REV-1607 EX AFP C12-OB)
DATE 03-02-2009
ESTATE OF BLACK DEBORAH A
DATE OF DEATH 09-14-2008
FILE NUMBER 21 09-0086
COUNTY CUMBERLAND
BETTY M SIPE ACN 08160342
16 W MAIN ST Amount Remitted
NEWBURG PA 17240
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 C12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF BLACK DEBORAH A FILE N0. 21 09-0086 ACN 08160342 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 CTAX CREDITS):
12.69
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
01-16-2009 CD010822 .00 12.69
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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" CCR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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