HomeMy WebLinkAbout10-23-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~~""~^~'~!~'' ~~ ~ >^}~~1'Mf_R I TAN C E TAX
BUREAU OF INDIVIDUAL TAXES ~ 1~,.-, , ~I ' i
INHERITANCE TAX DIVISION ~ -~ ~A~~.M E N T O F AC C O U N T
PO BOX 280601 , ~ ~.y f L.„~-_ ~ ~~ ~.~ .:-V I,
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HARRISBURG PA 17128-0601 REV-1607 EX AFP C12-08)
Z~~ ~~~ ~'~ ~~ ~~~ ~' ~ ESTATE OF CLOUSER009 DAVID H
DATE OF DEATH 02-20-2009
~ ~- ~~ FILE NUMBER 21 09-0204
'.: ~ ~ COUNTY CUMBERLAND
~, _.. -
DONNA WEST v..: '-~ ~~~
`;.~ ACN 09117552
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 (12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT *~*
ESTATE OF CLOUSER DAVID H FILE N0. 21 09-0204 ACN 09117552 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 (TAX CREDITS):
305.58
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
05-15-2009 CD011243 15.28 290.30
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
* IF PAID AFTER THIS DATE, SEE REVERSE 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. )
305.58
.00
.00
.00
~'