HomeMy WebLinkAbout07-23-10 (2)BUREAU OF INDIVIDUAL TAXES' ~ ~-I~HERITANCE TAX
INHERITANCE TAX DIVISION ~"' _. .. ,; STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
DATE 07-19-2010
ESTATE OF KELLER INA M
DATE OF DEATH 12-09-2009
FILE NUMBER 21 09-1175
COUNTY CUMBERLAND
ACN 10103405
Amount Remitted
_.
LARRY B T'S`T L I N'E '-'~~~
217 E GARFIELD ST
SHIPPENSBURG PA 17257-2001
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 _~ _ _ ________ _ _
REV X1607 SEX AFP (12 09)~ ~~~~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~ ~** ~ ~ ~~ ~~ ~ ~~
ESTATE OF:KELLER INA M FILE NO.: 21 09-1175 ACN: 10103405 DATE: 07-19-2010
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: 03-22-2010
PRINCIPAL TAX DUE:
1,577.82
PAYMENTS (TAX CREDITS:
P DATE T I RNUMBER (INTEREST/PENT PAID {-~I AMOUNT PAID
PAYMENT MUST BE MADE BY 09-10-2010*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 1,577.82
INTEREST AND PEN. .00
TOTAL DUE
1,577.82
* 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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