HomeMy WebLinkAbout06-04-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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EARL RICHARD ETZWEIL ~,~
ETZWEILER ~ ASSOCS
105 N FRONT ST
HARRISBURG PA 17101
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
DATE 05-24-2010
ESTATE OF MELLINGER JR IRA C
DATE OF DEATH 05-03-2008
FILE NUMBER 21 08-0614
COUNTY CUMBERLAND
ACN 101
Aaount R.aittad
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To onsuro propor credit to your account, subsit tho upper portion of this for^ with your tax payaant.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YDUR RECBRDS
ESTATE OF:MELLINGER JR IRA C FILE NO.: 21 08-0614 ACNs 101 DATE: 05-24-2010
._~..
THIS STATEMENT PROVIDES CURitENT 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 FIBURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-12-2010
PRINCIPAL TAX DUE:
1,500.00
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-21-2009 CD011142 .00 1,500.00
05-05-2010 CD012710 15.82- 15.82
TOTAL TAX PAYMENT ~ 1,500.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
* 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.