HomeMy WebLinkAbout09-28-09 (2)__ -
COMMONWEALTH OF PENNSYLVANIA
__DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES '_ ~ - INHERITANCE TAX
INHERITANCE TAX DIVISION ;*, L.~~;~;';-,, ':'_:•S~'A`T'~EMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
rity ~~ ~ C REV-1607 EX AFP (12-08)
2009SEP 28 r~` ~ v DATE 09-14-2009
ESTATE OF GUISE DOROTHY R
Cl_[ .`,~~~ ~~. DATE OF DEATH 12-21-2008
Q~1~,~i~~: ~- -!''' FILE NUMBER 21 08-1291
` r` ~~ COUNTY CUMBERLAND
ROGER W GUISE C~Jty, ~ , ,
ACN 101
925 CLY RD
YORK HAVEN PA 17370 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 F~
REV-1607 EX AFP C12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF GUISE DOROTHY R FILE N0. 21 08-1291 ACN 101 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: 08-03-2009
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
4,033.72
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
03-20-2009 CD011025 201.69 4,033.72
08-27-2009 REFUND .00 201.69-
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 REpUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIDNS. )
4,033.72
.00
.00
.00