HomeMy WebLinkAbout04-09-10BUREAU OF INDIVIDUAL TAXES ~~ ,~,. _~~ef`„~.;~ 'J~~"~.RITANCE TAX
INHERITANCE TAX DIVISION •~ '"` '""""" ~ ~- ENT OF ACCOUNT
PO BOX 280601 ~ !"`•~,, ~~~~ f ~ ~"f
HARRISBURG PA 17128-0601
~l0 APR -9 AM ~ I ~ 4
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WILLIAM L AD L E R C~~~~~.,A~'~D ~r
ADLER K ADLER
125 LOCUST ST
HARRISBURG PA 17101
pennsyLvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
DATE 04-05-2010
ESTATE OF DAVIS JACK W
DATE OF DEATH 05-23-2008
FILE NUMBER 21 08-0657
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 LOWER PORTION FOR YOUR RECORDS ~ _
REV 1607 EX AFP C12~ 09~ ~~~~~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~~*** ~ ~~~~~~~~~~~~~~~~~~~
ESTATE OF:DAVIS JACK W FILE NO.: 21 08-0657 ACN: 101 DATE: 04-05-2010
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: 03-01-2010
PRINCIPAL TAX DUE:
20,621.26
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID C-) AMOUNT PAID
08-14-2008 CD010141 1,031.06 28,000.00
01-16-2009 REFUND .00 8,909.04-
03-12-2010 CD012458 25.17- 525.01
TOTAL TAX PAYMENT ~ 20,621.86
BALANCE OF TAX DUET .60CR
INTEREST AND PEN. ~ .00
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.
.60CR
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