HomeMy WebLinkAbout06-04-10BUREAU OF INDIVIDUAL TAXES h 5~;~~ r"~~ ANCE TAX
INHERITANCE TAX DIVISION ~~ AC C ~ U N T
PO dED( 280601 ~}~.~ ~~
HARRIS8UR6 PA 17128-0601 L ~ .~.,.cj
H ANTHONY ADAMS +,
49 W ORANGE ST STE 3 '
SHIPPENSBURG PA 17257
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
DATE 05-24-2010
ESTATE OF KEESEMAN MILDRED S
DATE OF DEATH 01-10-2009
FILE NUMBER 21 09-0064
COUNTY CUMBERLAND
ACN 101
Amount Ramitt~d
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
NOTE: To ensue proper credit to your account, submit the upper portion of this form with your tax payment.
CU~Tr ALONG THIS LxME ~ R~rET~A~}h,N LQ~~W~E~R~ P~OrRTION ,FOR YOU~R,~rR~ECORDS _
~~Y -~~~~C 1 Z'- `ws~~~ ~E ~E ~ 11~IF1~ ANi:~r f ~~~~~~mUF A~~~ ss~if~~r~~~~~~~~~~~~~~~ ^~~
ESTATE OF:KEESEMAN MILDRED S FILE NO.: 21 09-0064 ACN: 101 DATE: 05-24-2010
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: 04-12-2010
PRINCIPAL TAX DUE:
1,627.09
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-05-2009 CD011957 .00 1,627.09
05-03-2010 CD012703 5.80- 5.80
TOTAL TAX PAYMENT I 1,627.09
BALANCE OF TAX DUET .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 FARM
FOR INSTRUCTIONS.