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HomeMy WebLinkAbout12-18-09 (4)_ _ _ Pennsylvania ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION REV-1607 EX AFP C10-09) STA'F'E1lL~I~FT=IQF !;'~-000UNT PO BOX 280601 R ~ - HARRISBURG PA 17128-0601 t~ - ~. ~° ~'; (` DATE 11••23-2009 ZaQ9 ~~~' ~ $ ~~ ~ ~ ~ TETOFODEATH 06o14U2009 ROBERT FILE NUMBER 21 09-0753 t~LEPiK ~,~rl' COUNTY CUMBERLAND DONNA SPONAUGLE QRPN~~~'J ~~,.~~,~~~ ACN 09141994 665 KISE MILL ROAD ~U~~^,i=?'~LL~;:;~,;[j ~~'~~,,, ~P Amount Remitted YORK HAVEN PA 17370 MAKE CHECK PAYABLE AND 1tEMIT PAYMENT T0: 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 C10~ 09) ~~ ~~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~~*~ ~~~~~~~~~~~~~~~~ ~~~~ ESTATE OF:SPONAUGLE ROBERT FILE NO.: 21 09-0753 ACN: 091419194 DATE: 11-23-2009 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: 09-08-2009 PRINCIPAL TAX DUE: 394.94 PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID 08-12-2009 CD011609 19.75 394.94 c 11-05-2009 REFUND .00 19.75- TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 394.94 .00 .00 .00