HomeMy WebLinkAbout05-09-11BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION $ ~A T E M E N T O F A C C O U N T
PO BOX 280601 ~ -
HARRISBURG PA 17126-0601
LISA M COYN.E
COYNE & COYNE PC
3901 MARKET ST
CAMP HILL PA 17011-4227
Pennsylvania i`
DEPARTMENT OF REVENUE
REV-1607 EX AFP f12-10) ~------~
DATE 05-02-2011
ESTATE OF DAVIS WILLIAM S
DATE OF DEATH 08-07-2008
FILE NUMBER 21 08-0952
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 C12-10) **~ INHERITANCE TAX STATEMENT OF ACCOUNT *~~
ESTATE DF:DAVIS WILLIAM S FILE NO.: 21 08-0952 ACN: 101 DATE: 05-02-2011
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMIMARY 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: 04-11-2011
PRINCIPAL TAX DUE: b,828.50
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-07-2008 CD010515 341.43 12,000.00
04-13-2011 REFUND .00 5,512.93-
TOTAL TAX PAYMENT 6,828.50
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.