HomeMy WebLinkAbout12-03-10~~ ? f ' '~r ~'' `~ ' ~.'~- !";INHERITANCE TAX
BUREAU OF INDIVIDUAL TAX'ES` -- - ,,
INHERITANCE TAX DIVISION _ `;'S Tl4T E M E N T O F A C C O U N T
PO BOX 280601 i..y J ; :~; ,: J
HARRISBURG PA 17128-0601
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DAVID M WAT~'J~F ~ i d~.; -'~.
100 PINE ST
PO BOX 1166
HARRISBURG PA 17108-1166
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DEPARTMENT OF REVENUE t
REV-1607 EX AFP C12-09) "r
DATE 11-29-2010
ESTATE OF DISNEY DAVID B
DATE OF DEATH 03-14-2010
FILE NUMBER 21 10-0416
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 AL_ONG__T_HI_S_LIN__E _~- RETAIN LOWER PORTION FOR YOUR RECORDS ~ _ _ _ _
~+~~~~ ~~~ ~ ~ ~ ••~ •~•~r•• ••` *** INHERITANCE TAX STATEMENT OFACCOUNT ~~**~ ~~~~ ~~~~ ~ ~ ~~~~~~~
REV-1607 EX AFP C12-09~
ESTATE OF:DISNEY DAVID B FILE NO.: 21 10-0416 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: 11-15-2010
PRINCIPAL TAX DUE:
3,216.77
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-08-2010 CD012876 147.37 2,800.00
07-23-2010 CD013093 .00 276.77
11-15-2010 REFUND .00 ?.37-
TOTAL TAX PAYMENT 3,216.77
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE I .00
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATIDN 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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