HomeMy WebLinkAbout10-23-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~"~ ~;.., ~~~~NHERITANCE TAX
INHERITANCE TAX DIVISION i~~, ..~,._,~~ ~.:' ;$~'pTEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601 REY-1607 EX AFP C12-08)
._~
DONNA WEST ~ ~~
7152 COUNTY ROAD #56
MT GILEAD OH 43338
DATE 10-13-2009
ESTATE OF CLOUSER DAVID H
DATE OF DEATH 02-20-2009
FILE NUMBER 21 09-0204
COUNTY CUMBERLAND
ACN 09117546
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 ~
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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 09117546 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):
321.07
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
05-15-2009 CD011243 16.05 352.40
10-05-2009 REFUND .00 47.38-
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. l
C IF TOTAL DUE IS LESS THAN S1,
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. )
321.07
.00
.00
.00