HomeMy WebLinkAbout06-01-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~"i r' ~ ir~C INHERITANCE TAX
INHERITANCE TAX DIVISION .~, TAT E M E N T O F ACCOUNT
Po Box zaD6D1 -,-~ ., - ..
H1IRRISBURG PA 17128-8601 "°" '-~
2009 JUN - I r M 12= 2 ~
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NANCY JO~+.;z(, i",!` ('~'~.. ~'~~
CO KATHLEEN PALUBINSKY
225 NORTH MAIN STREET
SHENANDOAH PA 17976
REV-1607 EX AFP (12-OB)
DATE 05-18-2009
ESTATE OF ROZENBURCH EUGENE
DATE OF DEATH 04-16-2008
FILE NUMBER 21 08-0559
COUNTY CUMBERLAND
ACN 09004798
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 ~
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REV-1607 EX AFP C12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF ROZENBURCH EUGENE FILE N0. 21 08-0559 ACN 09004798 DATE 05-18-2009
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: 05-11-2009
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
278.25
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
02-18-2009 S0003515 1.26- 280.38
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.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
274.12
.87CR
.00
.87CR