HomeMy WebLinkAbout02-05-10 Pennsylvania ~
DEPARTMENT OF REVENUE
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;~ r''(}7•''~.~'~~E TAX REV-1607 EX AFP C12-09)
BUREAU OF INDIVIDUAL TAXES
DIVISION '~'~~-"~'!~ ~,I.~E141~ ; QF
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~ ACCOUNT
INHERITANCE TAX v, tai` i..•
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PO BOX 280601
HARRISBURG PA 17128-0601
Q2-O1-2010
2010 F'EB '5 AP111 ~ 07 DATE
ESTATE OF
CRUM JR HORACE
DATE OF DEATH 10-01-2008
(;~~;~~( (~~ FILE NUMBER
~~~r5 COU~~
COUNTY CUMBERLAND
BRADLEY E CRUM ~,ds"~C!~± /:,~ ~ (~
CU~dtC'_iFi_ ~ ~ v~•: ~•
ACN 09106169
Amount Remitted
4448 PASTURE DR
ELIZABETHTOWN PA 17022
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
M
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
::: ;LONG ::: 5.:: N:........~ :...::::::.: OWER~PORT~ ON~~ OR~~ ~ ~R~ R ::ORD:.....~ .....................
REV-1607 EX AFP C12-09) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:CRUM JR HORACE M FILE N0.:21 08-1018 ACN: 09106169 DATE: 02-01-2010
THIS STATEMENT PROVIDOF ALLRPAYMENTSI,STHE CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPROJECTED INTEREST FIGUREINCIPAL
TAX DUE, A~~LICATI~N
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-28-2009
3,717.68
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
RECEIPT DISCOUNT C+)
PAYMENT NUMBER INTEREST/PEN PAID C-)
DATE
AMOUNT PAID
INTEREST IS CHARGED THROUGH 02-16-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.*
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
.00
3,717.68
112.43
I TOTAL DUE I 3,830.11
~ 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
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Gnrt INSTRUCTIONS