HomeMy WebLinkAbout08-16-11~[' Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES L'.L~!~t~F~` ~ t ~' ~~'I~RITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~~ ~ ~~
~L ~,,r REV-1607 EX AFP (12-10)
PO BOX 280601 rST'J~IENT OF ACCOUNT
HARRISBURG PA 17128-0601
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SAMUEL L ANDES Cl)PJ1~'~r~i ,+'~~ l~r~ ~A,
525 N 12TH ST
LEMOYNE PA 17043
DATE 08-01-2011
ESTATE OF MCKELVEY GERALD J
DATE OF DEATH 04-23-2009
FILE NUMBER 21 10-0419
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 C12-10) **~ INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:MCKELVEY GERALD J FILE NO.: 21 10-0419 ACN: 101 DATE: 08-01-2011
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: 05-16-2011
PRINCIPAL TAX DUE:
1.773
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
03-17-2011 CD014138 .00 1,773.89
07-06-2011 CD014673 77.79- 77.79
TOTAL TAX PAYMENT 1,773.89
BALANCE OF TAX DUE .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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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