HomeMy WebLinkAbout07-09-10 (2)BUREAU OF INDIVIDUAL TAXEIS`~`~ ;':-',,`~,"_t ! ` ;? `+~~ ITiKIHERITANCE TAX
INHERITANCE TAX DIVISION ~'~ f~ 4' 'TEA'-TEMENT OF ACCOUNT
PO BOX 280601 , ~ , ~, , s • - •~ -
HARRISBUR6 PA 17128-0601 ~`" '~`~
2110 Jt~t --9 '~~ iZ= 4
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CARL E SMi1~~, ~,-~'~ ,, ,, 4;~-~ ~~,n,
591 OXFORD RD
GARDNERS PA 17324
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09,1
DATE 06-21-2010
ESTATE OF COBBS HELEN A
DATE OF DEATH 02-01-2009
FILE NUMBER 21 10-0124
COUNTY CUMBERLAND
ACN 09113605
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 ~ _
""""""""""~~'+~" ~'~ *** ~INHERITAIVCE TAX STATEMENT~OF'ACCOUNT'~*** ~~~~~~~~~~~""'~~~~
REV-1607 EX AFP C12-09~
ESTATE OF:COBBS HELEN A FILE NO.: 21 10-0124 ACN: 09113605 DATE: 06-21-2010
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: 06-15-2010
PRINCIPAL TAX DUE:
26.20
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+~ AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-~
05-28-2010 CD012824 .64- 33.97
TOTAL TAX PAYMENT 33.33
BALANCE OF TAX DUE 7.13CR
INTEREST AND PEN. .00
TOTAL DUE I 7.13CR
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" tCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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