HomeMy WebLinkAbout06-21-10r t , .:. ~.~ w ~ , ~ .;-~~,,~ . ER I TAN~~ TAX
BUREAU OF INDIVIDUAL TAXES ~,..., ,-~ ,
INHERITANCE TAX DIVISION f~1,.~;~:.j~~~, ',~{~'`~!'' MENT OF ACCt]UNT
PO BOX 240601
HARRISBURG PA 17124-0601
20 I ~ JUN ~ ! PN ~" ~1
~~
~~`~ CQURT
JAMES D HU6HES~'~>i~~~~~ C~ . ~~.
SALZMANN HUGHES
354 ALEXANDER SPRING
CARLISLE PA 17015
pennsy~lvan~a
DEPARTMENT OF REVENUE
REV-1607 IX AFP C12-09)
DATE 06-14-2010
ESTATE OF BLACK GLENN W
DATE OF DEATH 03-29-2009
FILE NUMBER 21 09-0360
COUNTY CUMBERLAND
ACN 101
Amount Romittod
MAKE CHECK PAYABLE AND REMIT PAYMENT TOs
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
NOTE: To onsuro proper credit to your account, submit th• upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS
ESTATE OF:BLACK GLENN W FILE NO.: 21 09-0360 ACN: 101 DATE: 06-14-2010
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 PAYNENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-10-2010
PRINCIPAL TAX DUE:
31,148.37
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID C-) AMOUNT PAID
06-19-2009 CD011376 1,394.74 26,500.00
12-28-2009 CD012153 .00 3,065.02
05-26-2010 CD012802 2.75- 171.48
TOTAL TAX PAYMENT 31,148.49
BALANCE OF TAX DUE .12CR
INTEREST AND PEN. .00
TOTAL DUE
.12CR
~ 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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