HomeMy WebLinkAbout09-23-05
BUREAU OF INDIVIDUAL "'rAXES"" ".
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
REV-1607 EX AFP 103-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
09-12-2005
BOLAN
03-19-2005
21 05-0315
CUMBERLAND
101
THEO
B
WILLIAM CDISSINGER
DISSINGER ETAL
400 S STATE RD
MARYSVILLE PA 17053
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure 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 (03-05)
*** INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF BOLAN THEO B FILE NO.21 05-0315 ACN 101 DATE 09-12-2005
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN 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: 08-22-2005
PRINCIPAL TAX DUE: 5,479.29
PAYMENTS (TAX CREDITS):
PAY
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-07-2005 CD005411 271.71 5,162.58
ME NT MUST BE MADE BY 12-20-2005*. TOTAL TAX CREDIT 5,434.29
BALANCE OF TAX DUE 45.00
INTEREST AND PEN. .00
II IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 45.00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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