HomeMy WebLinkAbout02-01-10~~ r,r_~~('~? pennsylvania ~
BUREAU OF INDIVIDUAL TAXE~':?'~~'~~Ri,J ~;~~ ~~/~HERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ,t t~ +" {~ ~1~'E M E N T O F ACCOUNT REV-16D7 EX AFP (12-09)
PO BOX 280601 ~ i 1~'" Y ~
HARRISBURG PA 17128-0601 f M~-'~~~J '"~~ ~; 4
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DAVID H STONE l+tJ.. F~RI
STONE ETAL
414 BRIDGE ST '~'
NEW CUMBERLAND PA 17070
ESTATE OF JOHNSON JOHN A
DATE OF DEATH 10-09-2008
FILE NUMBER 21 08-1024
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
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 fir- RETAIN LOWER PORTION FOR YOUR RECORDS _
REV 1607 EX AFP C12 09~ ~~~~~ ~~* INHERI~'ANCE TAX STA~EMEI~T~OF~ACCOUNT ~~ ~~~~~~~~~~~~~~~~~~~~~
ESTATE OF:JOHNSON JOHN A FILE NO.: 21 08-1024 ACN: 101 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: 12-21-2009
PRINCIPAL TAX DUE: 5,046.76
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-07-2009 CD010734 252.34 6,500.00
12-29-2009 REFUND .00 1,705.58-
TOTAL TAX PAYMENT 5,046.76
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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