HomeMy WebLinkAbout12-03-10 (2)'~'`'~ {"~' `s: ~1-HERITANGE TAX
BUREAU OF INDIVIDUAL TAXE~ "~ ' .'
INHERITANCE TAX DIVISION ,. -~ $TQ-~i'EMENT OF ACCOUNT
PO BOX 280601 ~ E~- ;.; :_; :_: ; ~~. , ' .:. ;
HARRISBURG PA 17128-0601
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NORA F BLAIR ~~'~tir L,'` ~`~'~~~ ~_ ~',
5440 JONESTOWN RD
Po Box 6216
HBG PA 17112-0216
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
DATE 11-29-2010
ESTATE OF HAMMACHER ARCHIE F
DATE OF DEATH 07-03-2007
FILE NUMBER 21 07-0657
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 _ ~ _
REV X1607 SEX AFP C12 09~ ~~ ***~ INHERITANCE TAX STATEMENT OF~ACCOUNT ~***~~~~~~~~~~~~~~~~~ ~~~
ESTATE OF:HAMMACHER ARCHIE F FILE NO.: 21 07-0657 ACN: 101 DATE: 11-29-2010
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: 11-22-2010
PRINCIPAL TAX DUE:
7,633.78
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+~ AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-11-2009 CD010896 .00 3,330.36
06-17-2010 CD013560 .00 3,759.85
INTEREST IS CHARGED THROUGH 12-14-2010 TOTAL TAX PAYMENT 7,090.22
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 543.57
INTEREST AND PEN. 361.66
TOTAL DUE 905.23
* 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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