HomeMy WebLinkAbout04-09-10BUREAU OF INDIVIDUAL TA~, ' a ~i.,~;;~ , ~ f~~ NHERITANCE TAX
INHERITANCE TAX DIVISION F~~~`~,~ ~~ s'~.. j~~T TEMENT OF ACCOUNT
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HARRISBURG PA 17128-D601
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HARRISBURG PA 17110
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
DATE 04-05-2010
ESTATE OF FAILOR KEATHE G
DATE OF DEATH 07-31-2009
FILE NUMBER 21 09-0727
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
NOTE: To ensure 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 ~
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REV-1607 EX AFP C12-09) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:FAILOR KEATHE G FILE NO.: 21 09-0727 ACN: 101 DATE: 04-05-2010
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. 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: 03-08-2010
PRINCIPAL TAX DUE:
3,477.77
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-08-2009 CD011716 167.14 3,175.63
03-15-2010 CD012473 .00 135.00
TOTAL TAX PAYMENT ~ 3,477.77
BALANCE OF TAX DUET .00
INTEREST AND PEN. I .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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