HomeMy WebLinkAbout11-09-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
;~~'"'~~~,;~'"~ ^~'"`i,`~~ 'INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ky ,,: F ,t. ~.•
INHERITANCE TAX DIVISION ~ ;;S,TATEMENT OF ACCOUNT
PO BOX 280601 i 4a,,1 ` R„i t '„~i t :;t ..s
HARRISBURG PA 17128-0601
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ANDREW C SHEELY -,~--,-~' ~`~'~~~' ~~~~
127 S MARKET ST
PO BOX 95
MECHANICSBURG PA 17055
DATE 10-26-2009
ESTATE OF GOFF JR HARRY L
DATE OF DEATH 08-15-2007
FILE NUMBER 21 07-0873
COUNTY CUMBERLAND
ACN 101
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 C12-08) ~~* INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF GOFF JR HARRY L FILE N0. 21 07-0873 ACN 101 DATE 10-26-2009
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: 09-03-2009
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
21,512.89
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
11-09-2007 CD008940 1,075.64 20,500.00
05-14-2008 CD009722 .00 625.67
10-06-2009 REFUND .00 688.42-
TOTAL TAX CREDIT 21,512.89
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
* 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. )
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