HomeMy WebLinkAbout10-22-10 (2)Pennsylvania ~~'-
INHERITANCE TAX DEPARTMENT OF REVENUE _`
BUREAU OF INDIVIDUAL TAXES REV-1607 EX AFP (12-09) 1
INHERITANCE TAX DIVISION S T Art E`M E N T O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601
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DONALD D WAGP~E~ `
1209 STRATFORD ~R~,`
CARLISLE PA 17013
DATE 10-18-2010
ESTATE OF COHEN DORIS M
DATE OF DEATH 07-20-2009
FILE NUMBER 21 10-0975
COUNTY CUMBERLAND
ACN 09168758
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 ~ _ _ _
REV 1607 EX AFP C12 09~~~~~ **~ INHERITANCE TAX STATEMENT~OF ~ACCOUhIT ~~*** ~~~ ~~~~~ ~~~ ~~~~~~~
ESTATE OF:COHEN DORIS M FILE ND.: 21 10-0975 ACN: 09168758 DATE: 10-18-2010
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 APPLICA$LE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-13-2010
PRINCIPAL TAX DUE:
686.31
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+~ AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-~
09-23-2010 CD013403 11.78- 698.46
TOTAL TAX PAYMENT ~ 686.b8
BALANCE OF TAX DUE .37CR
INTEREST AND PEN. .00
TOTAL DUE I .37CR
* 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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