HomeMy WebLinkAbout07-23-10BUREAU OF INDIVIDUAL TAXES -~ - - - '~ ~tN~~~~TANCE TAX
INHERITANCE TAX DIVISION ,S TAT EFME p T O F A C C O U N T
PO BOX 280601 - ~ -~ -.
HARRISBURG PA 17128-0601
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TRACEY B GRINESTAF~1''.. ~rs,
GIBBEL ETAL
PO Box 16
LITITZ PA 17543
pennsylvania
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09) r
DATE 07-19-2010
ESTATE OF KELLEY JACK F
DATE OF DEATH 10-03-2008
FILE NUMBER 21 08-1055
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
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 (12-09~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:KELLEY JACK F FILE NO.: 21 08-1055 ACN: 101 DATE: 07-19-2010
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY DF THE PRINCIPAL
TAX DUE, APPLICATIDN OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-24-2010
PRINCIPAL TAX DUE:
19,481.49
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-~
12-30-2008 CD010716 956.25 18,168.75
12-31-2009 CD012189 .00 356.49
06-29-2010 CD013002 8.84- 8.84
TOTAL TAX PAYMENT I 19,481.49
BALANCE OF TAX DUET .00
INTEREST AND PEN. ~ .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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