HomeMy WebLinkAbout07-30-10BUREAU OF INDIVIDUAL ~'azE~ - ~ - ''-'-~ ~ INHERITANCE TAX
REV-1607 EX AFP (12-09)
POHBOXT280601~ DIVISION ~~~ ~ + '_~TATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
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BARBARA ~ vMA•RV'Et -
306 N MARKET ST
ELIZABETHTOWN PA 17022
ESTATE OF HERSHBERGER MILDRED I
DATE OF DEATH 01-25-2005
FILE NUMBER 21 05-0238
COUNTY CUMBERLAND
ACN 06000031
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 ~
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REV-1607 EX AFP C12-09) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:HERSHBERGER MILDRED I FILE NO.: 21 05-0238 ACN: 06000031 DATE: 07-26-2010
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: 03-09-2007
PRINCIPAL TAX DUE:
56.48
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-14-2010 CD013016 8.40- 64.88
TOTAL TAX PAYMENT I 56.48
BALANCE OF TAX DUEI .00
INTEREST AND PEN. ~ .00
TOTAL DUE
r"._.. .,
pennsylvan~a ;- ~
DEPARTMENT OF REVENUE
.00
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.