HomeMy WebLinkAbout07-06-10 (2)~;~ ~~ ',,~(';{. ~~j,r , DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ,~ y ~, , ry~~•..^ w ; ANCE TAX REV-1607 EX AFP C12-09)
INHERITANCE TAX DIVISION ~~'~'~;~~; jE ~F ACCOUNT
PO BOX 280601
iIARRISBURG PA 17128-0601
~~~~.~U~. -b PM 2~ ~ 8 DATE 06-28-2010
ESTATE OF BOHNER CLAYTON E
~~K ~~ DATE OF DEATN 10-16-2009
~~j~ ~au~T F I L E NUNBEI~ 21 0 9 -1011
CARL C BOHNER ~~~~~~--~~~~~ ~~ ~ PA COUNTY C~JMBERLAND
ACN 101
102 CENTER AVE Amoun# Remitted
CHATHAM NJ 07928
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WLLLS
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 ALOMC THIS LINE ~ RETAIN LQ1~ER PORTIQN FOR YOUR RECORAS ~
ESTATE OF:BOHNER CLAYTON E FILE NO.: 21 D9-101.1 ACN: 101 DATE: 06-28-2Q10
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ES"[JITE. 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: 05-17-2010
PRINCIPAL TAX DUE:
4,058.84
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE WUMBER INTEREST/PEN PAID C-)
01-12-2010 CD012220 202.38 3,845.22
06-09-2010 CD012899 .00 11.24
TOTAL TAX PAYMENT I 4,058.84
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
I TOTAL DUE I .00
* 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.