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HomeMy WebLinkAbout04-24-09COMMONWEALTH OF PENNSYLVANIA ., - ~, rf ~ ,~,_, ~ DEPARTMENT OF REVENUE BUREAU of INDIVIDUAL raxES - INHERITANCE TAX INHERITANCE TAX DIVISION - -• j ~S TAT E M E N T O F AC C O U N T PO BOX 280601 HARRISBURG PA 17128-0601 2~C9,{~~ ~~¢ Phi ~?. I 1 r ~,.. ~ e- `I. 5 ~ C.~~: ~~ tai LISA M COYNE 3901 MARKET ST CAMP HILL PA 17011 REV-1607 EX AFP C12-08) DATE 04-13-2009 ESTATE OF KELLY JR WILLIAM J DATE OF DEATH 08-08-2008 FILE NUMBER 21 OS-0852 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: 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 ~ ---------------------------------------------------------------------------- REV-1607 EX AFP C12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT *~~ ESTATE OF KELLY JR WILLIAM J FILE N0. 21 08-0852 ACN 101 DATE 04-13-2009 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: 03-02-2009 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): 28,963.06 PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID 11-07-2008 CD010517 1,448.15 28,000.00 03-27-2009 REFUND .00 485.09- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 28,963.06 .00 .00 .00 S