HomeMy WebLinkAbout05-22-09 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
...-.,. ~,i. LVi ... t....J
-,
SAMANTHA Mr~IZrYGhFT ~~°~
460 WHISKEY~~I~UN RD
NEWVILLE PA 17241
DATE 05-11-2009
ESTATE OF JOHNSON EMORY G
DATE OF DEATH 11-17-2008
FILE NUMBER 21 09-0287
COUNTY CUMBERLAND
ACN 09107740
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF MIILLS
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 JOHNSON EMORY G FILE N0. 21 09-0287 ACN 09107740 DATE 05-11-2009
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: 04-20-2009
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
03-24-2009 CD011038 .00 1,6.64
TOTAL TAX CREDIT
BALANCE OF T~4X DUE
INTEREST ANDi 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. )
16.64
16.64
.00
.00
.00
/,
i~.__'
i V