HomeMy WebLinkAbout08-03-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE rax Drv1S1oN ~ STATEMENT OF ACCOUNT
PO BOX 280601 ,
HARRISBURG PA 17128-0601 -
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THOMAS E FLOWER~~,`~I_';',,~j1 "~~? 1`'-P
SAIDIS ETAL
2109 MARKET ST
CAMP HILL PA 17011
DATE
ESTATE OF
DATE OF DEA
FILE NUMBER
COUNTY
ACN
~-
REV-1607 EX AFP (12-OB)
07-20-2009
BURKEY EVELYN G
TH 10-16-2007
21 07-0957
CUMBERLAND
101
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 E~
REV-1607 EX AFP (12-08) **~ INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF BURKEY EVELYN G FILE N0. 21 07-0957 ACN 101
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED EST ATETESHOWN BEL W009
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: 06-08-2009
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT
DATE NUMBER
08-21-2008 CD010181
01-16-2009 CD010785
06-19-2009 CD011382
DISCOUNT (+)
INTEREST/PEN PAID (-)
.00
210.31-
28.88-
~ IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
AMOUNT PAID
30,000.00
1,134.32
28.88
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
( IF TOTAL DUE IS LESS THAN 81,
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. )
30,924.01
30,924.01
.00
.00
.00