HomeMy WebLinkAbout09-24-10BUREAU OF INDIVIDUAL TAXES ~ _~ { +. ~~;;~I~ERITANCE TAX
INHERITANCE TAX DIVISION ~`,~~~ ~A T~€ M E N T O F A C C O U N T
PO BOX 280601
pennsylvania , ,~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
HARRISBURG PA 17128-0601
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aRPH~,"~'~ ~;C}UST
JILL M WINEKA '~~~~' ~~~,•~• ~'~} ,~,:
1719 N FRONT ST
HARRISBURG PA 17102
DATE 09-20-2010
ESTATE OF SHIRK GILBERT K
DATE OF DEATH 01-08-2010
FILE NUMBER 21 10-0344
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:SHIRK GILBERT K FILE NO.: 21 10-0344 ACN: 101 DATE: 09-20-2010
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: 08-30-2010
PRINCIPAL TAX DUE:
2,768.21
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-~
04-01-2010 CD012558 138.41 3,700.00
09-01-2010 REFUND .00 1,070.20-
TOTAL TAX PAYMENT I 2,768.21
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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