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HomeMy WebLinkAbout10-01-10 (2)BUREAU OF INDIVIDUAL TAXES r-,' J?'~'~y'~~ ~~-~N`~~;If~ANCE TAX INHERITANCE TAX DIVISION -~,~ TAT ~ M,~j~l'T~ 0 F ACC 0 U N T PO BOX 280601 , - f-a HARRISBURG PA 17128-0601 C `--'`~''~'~' ~'` ' °" ~ ~ - ~~ Za ~ ~ OCT - I ~~ 12~ 41 ~~~~~ ~~r QRP~",~~`~ C~~ ART BARRY KERLIN ~~~~~±~,~'~?~ ~'t~~.,L~ r~l~;., P~ %CHARLES SHIELDS III 6 CLOUSER ROAD MECHANICSBURG PA 17055 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-09) DATE 09-27-2010 ESTATE OF KERLIN JOHN R DATE OF DEATH 05-28-2009 FILE NUMBER 21 09-0543 COUNTY CUMBERLAND ACN 10047515 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 _-~ _ _ _ _ __ _ REV X1607 SEX AFP C12 09~~~ ~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~ *** ~ ~~~ ~ ~ ~~~~~~~ ESTATE OF:KERLIN JOHN R FILE NO.: 21 09-0543 ACN: 10047515 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: 09-24-2010 PRINCIPAL TAX DUE: .00 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT t+~ AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-01-2010 CD012567 .00 9.77 09-27-2010 REFUND .00 9.77- TOTAL TAX PAYMENT I .00 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. __~y~.~~ `„J~'