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HomeMy WebLinkAbout01-20-11„- nh INHERITANCE TAX BUREAU OF INDIVIDUA`L'<TA-CES ~'_ ~„~. INHERITANCE TAX DIVISION- ~ STATEMENT O F A C C O U N T PO BOX 280601 -_ J HARRISBURG PA 17128-0601' ~. ~, -,~. .-= , ~, B E V E R L Y ~-~ ~-D1~AR~US , ~, 240 DELL ~~OAD HEGINS PA 17938 pennsylvan~a ~ DEPARTMENT OF REVENUE REV-1607 EX AFP C12-10) DATE 01-10-2011 ESTATE OF ROMBERGER WILMER L DATE OF DEATH 05-07-2010 FILE NUMBER 21 10-0514 COUNTY CUMBERLAND ACN 10048109 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 10~~ ~ ~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~~*** ~~~~~~ ~~ ~ ~ ~~ ~~~ ESTATE OF:ROMBERGER WILMER L FILE N0.:21 10-0514 ACN: 10048109 DATE: 01-10-2011 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: 12-06-2010 PRINCIPAL TAX DUE: 8,937.24 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 08-05-2010 CD013167 446.86 8,518.76 01-04-2011 REFUND .00 28.38- TOTAL TAX PAYMENT 8,937.24 BALANCE OF TAX DUE .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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~~l