HomeMy WebLinkAbout12-09-05 (2)
BUREAU OF INDIVIDUAL r'l'AJ(~,,, r- C\
INHERITANCE TAX DIVISION :4-:1,; ,I"" L",,'
PO BOX 280601 -
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
REV-1607 EX AFP (03-05)
I"~' r.',
_ C; !'. 4
-- j i i
, ,-
. t J
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-28-2005
HESS
04-29-2005
21 05-0686
CUMBERLAND
05133676
GINOR
H
',.' ~. .. I
MARY AVERY
6725 OLD BERWICK RD
BLOOMSBURG PA 17815
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)
---------------------------------------------------------------------------
--+ RETAIN LOWER PORTION FOR YOUR RECORDS
4--
~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF HESS GINOR H FILE NO.21 05-0686 ACN 05133676 DATE 11-28-2005
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-22-2005
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-02-2005 CD005644 .00 17.46
10-29-2005 CD005952 .00 .94
11-28-2005 REFUND .00 18.40-
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
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. )
RK