HomeMy WebLinkAbout02-01-10~[~}~~?`~~ Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES tl~~`.jTJ'fRBC14'~~~N~~ TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~ 14~~ ACCOUNT REV-16D7 EX AFP (12-09)
PO BOX 280601 ~•~~
HARRISBURG PA 17128-0601
ALICIA B GOTTSHALL
1690 OBERLIN RD
20f0 fE6 - i PM 1' SKATE
ESTATE OF
~~yy ~~pp~~(~ DATE OF DEA
L~i.GIU~`~' FILE NUMBER
~~ ~ ~ COUNTY
ACN
01-25-2010
GOTSHALL DOROTHY M
TH 05-02-2009
21 09-0449
CUMBERLAND
09159261
Amount Remitted
MIDDLETOWN PA 17057-2948
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 1657 EX AFP C12 09) ~~~~*~* INHERITANCE ~AX STATEMEI~'~~OF ACCOUNT~~***~~~~~~~~~~~~~~~~~ ~~~
ESTATE OF:GOTSHALL DOROTHY M FILE NO.: 21 09-0449 ACN: 09159261 DATE: 01-25-2010
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: 01-06-2010
PRINCIPAL TAX DUE:
.00
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-23-2009 CD012029 .00 258.84
01-06-2010 REFUND .00 258.84-
TOTAL TAX PAYMENT I .00
BALANCE OF TAX DUET .00
INTEREST AND PEN. ~ .00
TOTAL DUE I .00
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATIDN 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.