HomeMy WebLinkAbout04-05-10BUREAU OF INDIVIDUAL TAXES ' ` !~ ~J'I~I~RL DANCE TAX
INHERITANCE TAX DIVISION x` ?~'E~~N`fi OF ACCOUNT
PO BOX 280601 _ ._,$ ,, ~L ,
HARRISBURG PA 17128-0601
X010 APR -5 P~ 2~ 55
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DAVID L GOTTSHALC~UA~~~'~~r~ T` ~~'~' ~~
4500 OXFORD RD
HARRISBURG PA 17109
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 IX AFP C12-09)
DATE 03-29-2010
ESTATE OF GOTSHALL DOROTHY M
DATE OF DEATH 05-02-2009
FILE NUMBER 21 09-0449
COUNTY CUMBERLAND
ACN 09159260
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 LOWER PORTION FOR YOUR RECORDS
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REV-1607 EX AFP C12-09~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ~**
ESTATE OF:GOTSHALL DOROTHY M FILE NO.: 21 09-0449 ACN: 09159260 DATE: 03-29-2010
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: 01-12-2010
PRINCIPAL TAX DUE:
00
PAYMENTS CTAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+~
INTEREST/PEN PAID C-~ AMOUNT PAID
11-20-2009 CD012028 .00 258.85
03-12-2010 REFUND .00 258.85-
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* 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
FOR INSTRUCTIONS.
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