HomeMy WebLinkAbout09-11-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~~-~ _"i~^~M~ERITANCE TAX
INHERITANCE 7AX DIVISION ~ v S TAT E M E N T O F A C C O U N T
PO BOX 280601 ~ z ,.~,
HARRISBURG PA 17128-0601 ~`
?~~~ SAP - 1 A~ I { = 25
~~ `_(lI\ ~J`
OFF~'~~~~ J ~;~!Ji~T ~
KARL E COOPER ~~i~„ ,_ r,, ~,~~,' ~ .
SM29 M14 LOT 21
16 LACOSTA AVE
CANCUN Q R00 OC 99999
REV-1607 EX AFP C12-08)
DATE 08-31-2009
ESTATE OF COOPER KARL W
DATE OF DEATH 04-15-2007
FILE NUMBER 21 07-0761
COUNTY CUMBERLAND
ACN 09143005
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 COOPER KARL W FILE N0. 21 07-0761 ACN 09143005 DATE 08-31-2009
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: 08-24-2009
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
2,398.36
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
06-20-2008 CD009910 72.30- 2,609.73
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
2,537.43
139.07CR
.00
* IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE I 139.07CR
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN S1,
NO PAYMENT IS REQUIRED. 7+,`
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), (`-'~
-•-•• -•-~• ~~ r~~~ o~rnun crr orvrocc crn^ np THIS FORM FOR INSTRUCTIONS. )