HomeMy WebLinkAbout07-30-10~~~~ ~ ,~ ~`~ INHERITANCE TAX
BUREAU OF INDIVIDUAL T~X~S _ ,f~_ ~,,;;
INHERITANCE TAX DIVISION ~''~ - ~; ~~TATEMENT OF ACCOUNT
PO BOX 280601 {~..'.. ,. __ _.. ....--
HARRISBURG PA 17128-0601
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J O H N E S L I ~~ ~`~~S Q--. ~ _. ~3
2109 MARKET ST
CAMP HILL PA 17011
penns~ylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP <12-09)
DATE 07-26-2010
ESTATE OF KELLER INA M
DATE OF DEATH 12-09-2009
FILE NUMBER 21 09-1175
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 C12-09~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:KELLER INA M FILE NO.: 21 09-1175 ACN: 101 DATE: 07-26-2010
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: 07-19-2010
PRINCIPAL TAX DUE:
45,242.17
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
02-16-2010 CD012358 2,000.00 38,000.00
02-16-2010 CD012354 78.89 1,498.93
03-01-2010 CD012410 79.85 1,517.07
06-02-2010 CD012845 .00 1,579.75
PAYMENT MUST BE MADE BY 09-10-2010*.
TOTAL TAX PAYMENT ~ 44,754.49
BALANCE OF TAX DUET 487.68
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.
487.68
~~.