HomeMy WebLinkAbout02-01-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
KARL E COOPER
SM29 M14 LOT 21
16 LACOSTA AVE
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DEPARTMENT OF REVENUE
REY-16D7 EX AFP (12-09)
DATE 01-19-2010
ESTATE OF COOPER KARL W
DATE OF DEATH 04-15-2007
FILE NUMBER 21 07-0761
COUNTY CUMBERLAND
ACN 09143005
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
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 S~ATEMENT~OF ACCOUNT ~ *** ~~~ ~ ~ ~~~~~~~~
ESTATE OF:000PER KARL W FILE NO.: 21 07-0761 ACN: 09143005 DATE: 01-19-2010
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: 01-14-2010
PRINCIPAL TAX DUE:
00
PAYMENTS CTAX CREDITS):
P DATE T I NUMBER (INTEREST/PEN PAID C-)I AMOUNT PAID
TOTAL TAX PAYMENT 1 .OD
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCN), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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