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HomeMy WebLinkAbout02-16-10BUREAU OF INDIVIDUAL INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 C! E.R~ ~`~ ~~~~ .~J ~~~~~~ JOHN S KOSTUKOV~ n r 4,#..djl t ,•l„ P~, t,..•,,+ 3900 TRINDLE RD 1 CAMP HILL PA 17011 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-09) DATE 02-08-2010 ESTATE OF NEIDIG LOUISE E DATE OF DEATH 05-06-2005 FILE NUMBER 21 05-0919 COUNTY CUMBERLAND ACN 101 Amount Remitted TAxES ~ ,~,t~ t ~,`~~ ,j`~I~~ERITANCE TAX _ ';.SjA,T~MENT OF ACCOUNT 20Ea FES 16 P~! 1 ~ 51 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 ~ REY-1607 EX AFP (12-09) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:NEIDIG LOUISE E FILE NO.: 21 05-0919 ACN: 101 DATE: 02-08-2010 THIS STATEMENT PROONDOF ALRRPAYMENTS~,STHE CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPROJECTED INTERS T FIGUREINCIPAL TAX DUE, A~~LICA DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-17-2006 4,418.40 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): RECEIPT DISCOUNT (+) PAYMENT NUMBER INTEREST/PEN PAID C-) DATE CD005904 .00 10-17-2005 226.64- 11-12-2009 CD012255 AMOUNT PAID 3,534.72 1,110.44 TOTAL TAX PAYMENT 4,418.52 .12CR BALANCE OF TAX DUE .00 INTEREST AND PEN. TOTAL DUE .12CR ~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. 1i IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM ~- FOR INSTRUCTIONS.