HomeMy WebLinkAbout10-01-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 28D601
HARRISBURG PA 17128-0601
CHARLES E SHIELDS III
6 CLOUSER RD
MECHANICSBURG PA 1
-~ ~~" ~~W ~i~~~ i ~''AlV~ E TAX
sb"Ct~M~.NT~~'_~~ ACCOUNT
Pennsylvania m ~ ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09) ?
~~~o ~~T ' ~ P ~~: ~~ DATE 09-27-2010
ESTATE OF KERLIN JOHN R
C~~~~ ~r DATE OF DEATH 05-28-2009
QRP~~~ ~~LR~ FILE NUMBER 21 09-0543
CIP~~1nFF'I_ ~~'~,l~~C> r;` , ~~ COUNTY CUMBERLAND
ACN 101
Amount Remitted
'055-9735
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 EX AFP~ C12 09~~ * *** INHERITANCE TAX STATEMENT~fJF ACCOUNT ~***~~~~~~~~~~ ~~~~~~~~~~
ESTATE OF:KERLIN JOHN R FILE NO.: 21 09-0543 ACN: 101 DATE: 09-27-2010
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: 06-21-2010
PRINCIPAL TAX DUE:
4,282.89
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+~ AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-21-2009 CD011652 132.00 2:508.00
04-01-2010 CD012567 5.78- 1,648.67
TOTAL TAX PAYMENT I 4,282.84
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" OCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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