HomeMy WebLinkAbout08-12-05
BUREAU OF INDIVIDUA1Pf.AlIB~r;:r; r[!=iCE r:r
INtERITANCE TAX DIYISION '.....\~'-" .1-_.' ,~,' - ".
PO BOX Z806Dl ,~ ,,-
HARRISBURG PA 17128-0601 ,-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
I:NHERI:TANCE TAX
STATEMENT OF ACCOUNT
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REV-l~ EX AFP (03-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
08-08-2005
AUGUSTYN
03-18-2005
21 05-0596
CUMBERLAND
05128242
A.ount R_l UN
TEDDY
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STEllA (".!'PLACZEK
2100 BENK~ CREEK BLVD
MECHANICSBURG PA 17050-1835
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE- .
CARLISLE, PA 17013
NOTE: To insure proper credit to your .ccount, sub_it 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-16U7 EX AFP (03-05)
~~~ INHERITANCE TAX STATEMENT OF ACCOUNT KKK
ESTATE OF AUGUSTYN TEDDY FILE NO.21 05-0596 ACN 05128242 DATE 08-08-2005
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SMOWN BELOW
IS A SUNNARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED'INTEREST FIGURE.
DAT~ OF LAST ASSESSMENT DR RECORD ADJUSTMENT: 08-01-2005
PRINCIPAL TAX DUE: 445.57
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID .
DATE NUMBER INTERES~/PEN PAID (-)
06-30-2005 CD005522 .00 445.57
TOTAL TAX CREDIT 445.57
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 LESS THAN $1,
ND PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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