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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601`1
HARRISBURG PA 17128-0601
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
DATE 07-12-2010
ESTATE OF HALDEMAN RICHARD W
DATE OF DEATH 07-16-2006
FILE NUMBER 99 07-0396 ~ ~ ~ L` ~ - ~ ~~
COUNTY NON-RESIDENT
ACN 101
Amount Remitted ~~
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
DEPARTMENT OF REVENUE
DEPT 280601
HARRISBURG PA 17128-0601
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 ~ __ __
REV X1607 SEX AFP C12 09~~~~~~~ **~ INHERITANCE TAX STATEMENT~OF ~ACCOUhIT ~~*** ~~~~~~~~~~ ~~~~ ~~~
ESTATE OF:HALDEMAN RICHARD W FILE N0.:99 07-0396 ACN: 101 DATE: 07-12-2010
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: 02-01-2008
PRINCIPAL TAX DUE:
9,208.25
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
Ob-25-2007 CD008332 .DO 5,000.00
11-25-2009 NR012602 800.74- 5,038.80
09-08-2009 LIEN FEE 27.50 .00
TOTAL DUE MAY INCLUDE APPLICABLE LIEN
FEES AND/OR COLLECTION AGENCY FEES.*
TOTAL TAX PAYMENT 9,238.06
BALANCE OF TAX DUE 29.81CR
INTEREST AND PEN. .00
TOTAL DUE 2.31CR
* 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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INHERITANCE TAX
STATEMENT OF ACCUUNT
~ ~ ~
COMMONWEALTH OF PENNSYLVANIA PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE AND ESTATE TAX
PO BOX 280601
HARRISBURG, PA 17128-0601 OFFICIAL RECEIhT ~ j
g
No. NR012602
RECEIVED FROM:
MR JEFFREY HALDEMAN
55 BELLERIVE ACRES
SAINT LOUIS MO 63121
ESTATE INFORMATION
FILE NUMBER
99 07-0396
NAME OF DECEDENT (LAST) (FIRST} (MI)
HALDEMAN RICHARD W
DATE OF PAYMENT
12/21 /2009
POSTMARK DATE
11 /25/2009
COUNTY
Non-Resident
DATE OF DEATH
7/16/2006
REMARKS
ACN
ASSESSMENT
CONTROL AMOUNT
NUMBER
101 5,038.80
TOTAL AMOUNT PAID $5,038.80
RECEIVED BY
John M. Riedman
SEAL
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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