HomeMy WebLinkAbout11-13-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU CIF INDIVIDUAL TAXES I-N-HERITANCE TAX `~`
INHERITANCE Tnx oIV1S1oN ~- ,-_ S TAT E M.E N T O F A C C O U N T
~0 BOX 2811601 - _ -- ~~ ' '"'
iARRISBUR(~ PA 17128-0601 REV-1607 EX AFP (12-DB)
^~~9F°,(~~ ~~ AN t4: Z~+ DATE 11-02-2009
ESTATE OF KEEPER ARTHUR J
,~
~-~_,. ,, ~~,~_ DATE OF DEATH 02-22-2008
~
~~, 1117 FILE NUMBER 21 08-0268
~nr
_
i h_ ~tJS"1
_ -~ ~ ~~ COUNTY CUMBERLAND
H ANTHONY ADAMS ~'_, ~ ~ ACN 101
STE 3
Amount Remitted
49 W ORANGE ST
SHIPPENSBURG PA 17257
MAKE CHECK PA YABLE 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 F-
---------------------------------------------------------------------------
REV-1607 EX AFP C12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~~~
ESTATE OF KEEPER ARTHUR J FILE N0. 21 08-0268 ACN 101 DATE 11-02-2009
THIS STL\TEMENT LS 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: 09-14-2009
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
8,712.80
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-21-2008 CD010547 .00 9,000.00
10-15-2009 REFUND .00 287.20-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
* IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE
SID1= FOR CALCULATION OF ADDITIONAL INTEREST.
C IF 'TOTAL DUE IS LESS THAN 51,
NCI 'PAYMENT IS REQUIRED.
IF 70TAL DUE IS REFLECTED AS A "CREDIT" CCRJ,
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
8,712.80
.00
.oo
.oo
i
G~~