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HomeMy WebLinkAbout11-09-09BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '~'~' ' '' ~ "~ ` ~{' `-INHERITANCE TAX '- 4. ':_; , ; ',~, ~,'~;~~`%~-TEMENT OF ACCOUNT ~~9 OV -9 P~! 1 ~ X44 CLERK ~'~ O~P~~~~~'~ CQl~RT MILDRED AUGHENBAh1~' `~' ~ ''-°f_` ..,,., P~ 400 HIGHWAY 1283 LORIS SC 29569 DATE 10-26-2009 ESTATE OF HAWBALER HELENA DATE OF DEATH 11-30-2008 FILE NUMBER 21 08-1234 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 ~ --------------------------------------------------------------------------- REV-1607 EX AFP C12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT **~ ESTATE OF HAWBALER HELENA FILE N0. 21 08-1234 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: 06-22-2009 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): 325.41 PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 01-26-2009 CD010817 16.27 325.41. 10-06-2009 REFUND .00 16.27-. TOTAL TAX CREDIT 325.41 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )