HomeMy WebLinkAbout09-28-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
_ _,. ,._ .,, r"
BUREAU OF INDIVIDUAL TAXES ~ i ,i ~l^I ;r~ ~ F ~'~.TNMERITANCE TAX
INHERITANCE TAX DIVISION ~~ -," 'STgT~ M E N T O F A C C O U N T
PO BOX 280681
HARRISBURG PA 17128-0601 ~ ~`'~'"~ `" y
2Q09 SEP 28 '~~ 2~ 55
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EDWARD HERSHBERG~~1, _ '"
702 HUMMEL AVE
LEMOYNE PA 1.7043
REV-1607 EX AFP (12-08)
DATE 09-14-2009
ESTATE OF HERSHBERGER MILDRED I
DATE OF DEATH 01-25-2005
FILE NUMBER 21 05-0238
COUNTY CUMBERLAND
ACN 06000026
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 ~--
REV-1607 EX AFP (12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~**
ESTATE OF HERSHBERGER MILDRED I FILE N0. 21 05-0238 ACN 06000026 DATE 09-14-2009
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: 03-09-2007
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
1,936.44
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
07-24-2009 CD011528 498.73- 2,435.12
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.
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. )
1,936.44
.00
.00
.00
G