HomeMy WebLinkAbout05-17-10~~ ~~,~~~~, ~~ ~f;~.~ ,..,~ pernnsylvania ~
-' l j ~.f i~#7~ y~~TANCE TAX DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES '`~ ,, ~.
INHERITANCE TAX DIVISION ~}~{`~'~~A 1 E ~ ~ N-1' O F ACC 0 U N T REV...-1607 IX AFP C12-09)
PO BOX 280601
HARRISBURG PA 17128-0601
~~~~ ~~~ ~ ~ p~ ~' ~~ DATE 05-10
C~.E~K OF
O~F~~`~' ~ ~~a:~1.~F~T
JEFFREY L YOHN
142 MOUNTAIN DRIVE
EAST WATERFORD PA 17021
-2010
ESTATE OF BLACK
DATE OF DEATH 09-14-2 08
FILE NUMBER 21 09-0 86
COUNTY CUMBERL ND
ACN 1000339
Amount Rem tted
DEBORAH A
MAKE CHECK PAYABLE ANtp REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUA 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 ~
~ ~~~ ~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ N ~~~~~~~~~~ ~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~ / ~ ~~ ^
REV-1607 EX AFP C12-09) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BLACK DEBORAH A FILE NO.: 21 09-0086 ACN: 1000 399 DATE: 05-10-2010
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~fED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-08-2010
PRINCIPAL TAX DUE:
2,122.82
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-12-2010 CD012607 70.77- 2,193.59'
BALANCE OF UNPAID INTEREST/PENALTY AS OF 04-13-2010 TOTAL TAX PAYMENT 2,122.82
BALANCE OF TAX DU .00
INTEREST AND PEN. 11.21
TOTAL DUE
11.21
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADD II
ITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.