HomeMy WebLinkAbout01-08-10T
BUREAU OF INDIVIDUAL TAXES .+ `~''i~F~[ ~_('.~l~l~~~ANCE TAX
INHERITANCE TAX DIYISION .- $~`ATEM, M'f OF ACCOUNT
PO BOX 280601 r'j-; (' _ _ . t".
HARRISBURG PA 17128-0601 ~ '"`""'' `' ~ ` `'"
pennsyLvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
2010 JAS -8 PP9 ! ~ ! 7
vR~~l i~~I V ~ i:~~ ~~7
VERA B NEISH c~;~~~:"-_n'..'`';`''„~,, i~`n p~,
...~..,
1461 ALMADEN VALLEY DR
SAN JOSE CA 95120-3802
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To ensure 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 09~ ~~~~~ ~*~ INHERITANCE TAX STATEMENT~O~~ ACCOUNT ~~*~ ~~~~~~~~~~ ~ ~~~~~~~~
ESTATE OF:BOMBERGER GORDON L FILE NO.: 21 08-1059 ACN: 09006376 DATE: 12-21-2009
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. 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: 11-02-2009
PRINCIPAL TAX DUE: 3,900.00
PAYMENTS CTAX CREDITS):
DATE 12-21-2009
ESTATE OF BOMBERGER GORDON L
DATE OF DEATH 10-17-2008
FILE NUMBER 21 OS-1059
COUNTY CUMBERLAND
ACN 09006376
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
P DATE T I RNUMBER (INTEREST/P N PAID (-)I AMOUNT PAID
INTEREST IS CHARGED THROUGH 01-05-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.*
TOTAL TAX PAYMENT
.00
BALANCE OF TAX DUE
INTEREST AND PEN.
3,900.00
91.37
TOTAL DUE I 3,991.37
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY HE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.