HomeMy WebLinkAbout10-28-05
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BUREAU OF INDIV"!",,,~'t HIi!'n-'!1 (i,"!": r
INHERITANCE TAX DIVtS'ION""- .-'.. I V - ~
PO BOX 280601 ,,- .....--,' ':- . .
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
REV-1607 EX AFP (03-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-03-2005
MITCHEL l
05-20-2004
21 05-0448
CUMBERLAND
04136240
JACK
C
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PATRIGIA J SlATICK
32 HAZEL CIR
MECHANICSBURG PA 17050
Allount Rellitted
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, subllit the upper portion of this forll with your tax paYllent.
CUT ALONG THIS lINE
~
RETAIN lOWER PORTION FOR YOUR RECORDS
+-
REV-1607 EX AFP (03-05)
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*** INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF MITCHELL JACK C FILE NO.21 05-0448 ACN 04136240 DATE 10-03-2005
THIS STATE"ENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NA"ED ESTATE. SHOWN BELOW
IS A SU""ARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAY"ENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF lAST ASSESSMENT OR RECORD ADJUSTMENT: 09-20-2005
PRINCIPAL TAX DUE: 753.30
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-17-2005 CD005333 .00 96.11
07-15-2005 CD005585 14.00- 671.19
09-30-2005 WRITEOFF .00 .19
TOTAL TAX CREDIT 753.30
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
II IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAY"ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ,
YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. J
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