HomeMy WebLinkAbout02-16-10BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 1712E-0601
~ HERITANCE TAX
TAXES .,.,r, ~'1 {~ ~ `:-
- SY'llT' MENT OF ACCOUNT
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GATES ETAL
1013 MUMMA RD STE 100
LEMOYNE PA 17043
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
DATE 02-08-2010
ESTATE OF BABBLER ORA
DATE OF DEATH 04-20-2008
FILE NUMBER 21 09-0433
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
S
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-1607 EX AFP C12-09) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BASSLER ORA S FILE N0.:21 09-0433 ACN: 101 DATE: 02-08-2010
THIS STATAPPLICATOIONDOF ALLRPAYMENTS~,STHE CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPR JECTED INTEREST FIGUREINCIPAL
TAX IUE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-01-2010
4,469.72
PRINCIPAL TAX UUE:
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-)
CD011203 .00
05-07-2009 186.67-
01-21-2010 CD012266
AMOUNT PAID
1,000.00
3,666.39
TOTAL TAX PAYMENT 4,479.72 I
10.000R
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
TOTAL DUE ~ 10.000R
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ``
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM '~i
FOR INSTRUCTIONS. ~j