HomeMy WebLinkAbout02-16-10BUREAU OF INDIVIDUAL TAXES `' ~ TNITER3TANCE TAX
INHERITANCE TAX DIVISION ~ T'A~ E M E N T O F AC C O U N T
PO BOX 280601 ~~ ,; ~,', ~,~, ,, ,
HARRISBURG PA 17128-0601
204~~~~ 16 ~i' ~~ S2
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PATRICIA R BROWN '.~ r s ; ( ~,. ~,a,
SALZMANN HUGHES
STE 1 354 ALEXANDER S
CARLISLE PA 17015
pennsylvania .:
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
DATE 02-08-2010
ESTATE OF JACOBY RICHARD J
DATE OF DEATH 12-21-2008
FILE NUMBER 21 09-0094
COUNTY CUMBERLAND
ACN 101
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 LDWER PORTION FOR YOUR RECORDS ~ _ _ _
REV 1607 SEX AFP~ C12 09) ~~~~~ **~ INHERITANCE TAX STATEMENT~OF~ACCOUNT ~~***~~~ ~~ ~~~ ~~~~~~~~~~
ESTATE OF:JACOBY RICHARD J FILE ND.: 21 09-0094 ACN: 101 DATE: 02-08-2010
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: 01-25-2010
9,471.67
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-)
03-13-2009 CDO11001 473.58
01-25-2010 REFUND .00
AMOUNT PAID
9,000.00
1.91-
TOTAL TAX PAYMENT 9,471.67
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE I .00
* 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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FOR INSTRUCTIONS.
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