HomeMy WebLinkAbout11-29-10BUREAU OF INDIVIDUAL TAXE15 j1!F r r- -. ifi,~IHERITANCE TAX
INHERITANCE TAX DIVISION -- S T A01 E M E N T O F A C C O U N T
PO BOX 280601 ~_ ~ t ~.
HARRISBURG PA 17128-0601
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DAVID H STON~(.~,~~-_.:~ ,''` ~~ "` ~_'
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414 BRIDGE ST
NEW CUMBERLAND PA 17070
pennsylvania ~ ~ ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09) ~~ ~~ ~
DATE 11-22-2010
ESTATE OF ALLEN SARA J
DATE OF DEATH 12-13-2009
FILE NUMBER 21 09-1161
COUNTY CUMBERLAND
ACN 101
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:ALLEN SARA J FILE N0.:21 09-1161 ACN: 101 DATE: 11-22-2010
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: 11-08-2010
PRINCIPAL TAX DUE:
3,479.38
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-~
03-08-2010 CD012428 173.97 3,400.00
11-08-2010 REFUND .00 94.59-
TOTAL TAX PAYMENT ~ 3,479.38
BALANCE OF TAX DUET .00
INTEREST AND PEN. ~ .00
TOTAL DUE
.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.