HomeMy WebLinkAbout03-26-10BUREAU OF INDIVIDUAL TAXES~I F~ - `~-NHERITANCE TAX
INHERITANCE TAX DIVISION TAT E M E N T O F A C C O U N T
PO 80X 280601 - ~• •- ~ ~ ~•
HARRISBURG PA 17128-0601
~Q ~ ~ ~ ~ ~a ~'~~ ~~~ ~
{{ w' ~"
~~~.~tii ~ ~~'~
~ ~-. ~ .~
ROBERT R BLA~~~a - - ' ~~
LANDIS K BLACK
36 S HANOVER ST
CARLISLE PA 17013
pe~nsylvan~a ~
DEipARTMENT OF REVENUE
REVI-1607 IX AFP C12-04)
DATE 03-22-2010
ESTATE OF COHICK
DATE OF DEATH 05-15-2009
FILE NUMBER 21 09-0 86
COUNTY CUMBERL ND
ACN 101
Amount Rem tted
EARL E
MAKE CHECK PAYABLE ANt~ REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUA E
CARLISLE PA 170 '3
NOTE: To ensure proper credit to your account, submit the upper portion of this fo m 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:COHICK EARL E FILE NO.: 21 09-0486 ACN: 101 DATE: 03-22-2010
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJEC ED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-08-
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-05-2009 CD011571 1,842.11 35,000.00
01-11-2010 CD012213 .00 6,976.96
02-26-2010 CD012398 .03- 24.60
43,843.63
TOTAL TAX PAYMENT 43,843.64
BALANCE OF TAX DUE .O1CR
INTEREST AND PEN. .00
TOTAL DUE
.O1CR
* 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 SI E OF THIS FORM
FOR INSTRUCTIONS.