HomeMy WebLinkAbout10-19-05
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BUREAU OF INDIVIDUAL' TAXe~(f :.' " r \;':': _
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
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REV-1607 EX AFP (03-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-03-2005
DAVIS
11-20-2004
21 05-0337
CUMBERLAND
05109838
JANE
PETERT ADAMS
129 W GREENHOUSE RD
DILLSBURG PA 17019
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
CUT ALONG THIS LINE
NOTE: To insure proper credit to your account, submit the Upper portion of this form with your tax payment.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
REV-1607 EX AFP (03-05)
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RETAIN LOWER PORTION FOR YOUR RECORDS
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ESTATE OF DAVIS JANE FILE NO.21 05-0337 ACN 05109838 DATE 10-03-2005
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOHN BELOH
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
*** INHERITANCE TAX STATEMENT OF ACCOUNT KKK
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-05-2005
PAYMENTS (TAX CREDITS):
PRINCIPAL TAX DUE: 138.29
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-14-2005 CD005798 .45- 138.74
TOTAL TAX CREDIT 138.29
BALANCE OF TAX DUE .00
INTEREST AND PEN. .02
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .02
II
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
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