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HomeMy WebLinkAbout05-22-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAxES ~ ' INHERITANCE TAX INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 ,rr,..,w ~~, E'~' ~J ;~. ~1 TINA DEIrBL~R ~~~ 1822 WILLOW RD CAMP HILL PA 17011 REV-1607 EX AFP (12-08) DATE 05-11-2009 ESTATE OF HALL CLARENCE DATE OF DEATH 02-19-2008 FILE NUMBER 21 09-0281 COUNTY CUMBERLAND ACN 08117377 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CCI 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 HALL CLARENCE FILE N0. 21 09-0281 ACN iD8117377 DATE 05-11-2009 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN T!HE 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: 03-16-2009 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID 04-06-2009 CD011085 .25- 12.62 05-08-2009 SBADJUST .00 .O1 TOTAL TAX CREDIT BALANCE OF TI~X 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. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 12.37 12.37 .00 .00 .00 ~~1