HomeMy WebLinkAbout11-29-10 (2)BUREAU OF INDIVIDUAL ir~AxES ~ _ .. '. INHERITANCE TAX
INHERITANCE TAX DIVISION ! `$TATEMENT OF ACCOUNT
PO BOX 280601 G. ._ .- ..
HARRISBURG PA 17128-0601
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409 N MORRIS STREET
SHIPPENSBURG PA 17257
Pennsylvania
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09) ~ ~~~~
DATE 11-15-2010
ESTATE OF KARNES ERIC D
DATE OF DEATH 08-25-2010
FILE NUMBER 21 10-1012
COUNTY CUMBERLAND
ACN 10154769
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:KARNES ERIC D FILE NO.: 21 10-1012 ACN: 10154769 DATE: 11-15-2010
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: 11-01-2010
PRINCIPAL TAX DUE:
42.76
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT t+3 AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-05-2010 CD013456 1.50 28.51
10-21-2010 CD013530 .64 12.12
TOTAL TAX PAYMENT I 42.77
BALANCE OF TAX DUET .O1CR
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.
.O1CR