HomeMy WebLinkAbout10-23-09BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~r ~r~~,~ ~l~ t~`~~'h71~~ R ~ TAN C E TAX
_ ~Ti~T;~~M~IT OF ACCOUNT
6
REV-1607 EX AFP (12-08)
~~~~~ ~~" ~~ ~ ~~ ~~ DATE 10-13-2009
ESTATE OF CLOUSER DAVID H
,~ ,.,,1, .~,~ DATE OF DEATH 02-20-2009
~ '~ ~`~'~` FILE NUMBER 21 09-0204
~'~~' ~ ~ 'fT COUNTY CUMBERLAND
DONNA WEST v - ~`~` ACN 09117549
7152 COUNTY ROAD #56 Amount Remitted
MT GILEAD OH 43338
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 CLOUSER DAVID H FILE N0. 21 09-0204 ACN 09117549 DATE 10-13-2009
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: 07-06-2009
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
320.91
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
05-15-2009 CD011243 16.05 304.86 ~`
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 ~1,
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. )
320.91
.00
.00
.00