HomeMy WebLinkAbout03-05-10BUREAU OF INDIVIDUAL TAXES f°;'.• ~, ._I _ ~, '~..~11~•~RITANCE TAX
INHERITANCE TAX DIVISION w .~:}• ~`~~~"~-~MENT ~F ACCUUNT
PO BOX 280601 f` '; i
HARRISBURG PA 17128-0601
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JAMES G RHINEHART~~ ii,,',~~`~- ' ' `',;~ ~'~~
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2393 LAMBS GAP RD
ENOLA PA 17025
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
DATE j 02-22-2010
ESTATE OF~' BOMBERGER
DATE OF D ATH 10-17-2008
FILE NUMB R 21 08-1059
COUNTY CUMBERLAND
ACN 101
Amount Remitted
GORDON L
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGIS ER OF WILLS
1 COU THOUSE SQUARE
CARLI LE PA 17013
NOTE: To ensure proper credit to your account, submit the upper por ion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YO R RECORDS
REV-1607 EX AFP C12-09) **~ INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BOMBERGER GORDON L FILE NO.: 21 08-10591 ACN: 101 DATE: 02-22-2010
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TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLI ABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-02-2009
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID C-) MOUNT PAID
12-08-2008 CD010625 933.89 17,744.00
05-06-2009 CD011207 .00 1,369.50
02-02-2010 REFUND .00 ~ 46.69-
20,000.70
TOTAL TAX PAYMENT 20,000.70
BALAN E OF TAX DUE .00
INTER ST AND PEN. .00
T TAL DUE
.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 REFUN SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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