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HomeMy WebLinkAbout12-04-09pennsyLvania ~ BUREAU OF INDIVIDUAL TAX~~;~n}~~~~~~~" NHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION ~~ ~ - r,'" ~t REV-1607 EX AFP QO-09) Pa BOX 280601 ~ .~~~ ,~,~ V~ "~~~ EMENT OF ACCOUNT HARRISBURG PA 17128-0601 '~"~` `} ~Ognc~..4 Ph It~~ DATE 11-23-2009 VL MARY H SR C~~ ~" 208 GARLAND DR CARLISLE PA 17013 ESTATE OF HASSINGER MARY E DATE OF DEATH 07-12-2009 FILE NUMBER 21 09-0978 COUNTY CUMBERLAND ACN 09156731 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TD: 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:HASSINGER MARY E FILE N0.:21 09-0978 ACN: 09156731 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: 11-09-2009 PRINCIPAL TAX DUE: 90.76 PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 10-19-2009 CD011870 .00 90.76 TOTAL TAX PAYMENT I 90.7 BALANCE OF TAX DUET .0 INTEREST AND PEN. ~ •0 TOTAL DUE .00 ' * 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. - __ __ __