HomeMy WebLinkAbout07-22-05COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES -~~-~ ~ ~ ~-,~,- INHERITANCE TAX
INHERITANCE TAX DIVISION S'TaT E M E N T O F A C C O U N T
PO Box 280601 t" _
HARRISBURG PA 17128-0601
REV-16D7 EX AFP (03-OS)
DATE 07-05-2005
~~ ',„ ESTATE OF BALLACHINO
DATE OF DEATH 11-14-2004 ANGELO p
~__ ~ _ FILE NUMBER 21 05-0138
JENNIFER B HIPP COUNTY CUMBERLAND
1 W MAIN ST ACN 101
SHIREMANSTOWN PA 17011 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the u
peer portion of this form with your tax
CUT ALONG THIS LINE Payment.
^mmmmmmnm~n~mam~m~m~~a~~~~mmm~ammm~~rimiimmi~im~~mia~iiiaiim~i~imia~~ia~~iiiim~~mmmaa~ ^na~mrmnm~mmmmm~mm~~~
REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~(~(~(
ESTATE OF BALLACHINO ANGELO P
FILE N0. 21 05-0138 ACN 101
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATETESHOWN BEL w005
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: 04-11-2005
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-)
02-10-2005 CD004930
06-20-2005 666.74
REFUND .00
* IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1,
NO PAYMENT IS REQUIRED.
AMOUNT PAID
12,688.02
20.00-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
13,334.76
13,334.76
.00
.00
.00
~~