HomeMy WebLinkAbout12-18-09BUREAU OF INDIVIDUAL TAXES r., ,-~~, {~;TANCE TAX
INHERITANCE TAX OIYISION t ~~', ~1T/~c'Tt,1f~T OF ACCOUNT
PO BOX 280601 , , ,•, ,
HARRISBURG PA 17128-0601 i il~;'4 i -~", ti; • ~ ~-~
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ELYSE E ROGERS ESQ OR~I` S CCUR7
KEEPER WOOD ALLEN E~ ~- -~ ~--
635 N 12TH ST STE 400
LEMOYNE PA 17043
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1a07 EX AFP (10-09)
DATE 11••30-2009
ESTATE OF HAUCK SANDRA L
DATE OF DEATH 09-08-2008
FILE NUMBER 21 08-0951
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COUR1" 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) ~~~~ *** ~{NHER~TANCE 'TAX S~ATEMENT~OF~ACCdUNT~~~**~~~~ ~~~~~~~~~~~~ ~~~
ESTATE OF:HAUCK SANDRA L FILE NO.: 21 08-0951 ACN: 101 DATE: 11-30-2009
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: 09-28-2009
PRINCIPAL TAX DUE: 108,655.15
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-08-2008 CD010604 4,947.37 94,000.00 ;
11-06-2009 CD011974 178.22- 9,886.00
BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-07-2009~TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST ANA PEN.
TOTAL DUE
108,655.15
.00
22.60
22.60
~ IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.