HomeMy WebLinkAbout09-26-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAx p1VISI0N
PO BOx 280601
HARRISBURG PA 17128-0601
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r ~~TANCE TAX
~sF,,.;'~ ~S7AT~~~gT OF ACCOUNT
CLERK OF
RICHARD C SNELBAKER OMP~~~,Sn (~IJRT
44 WEST MAIN STREET ~~~ ( , { ~~~~ ~ pA
PO BOX 318
MECHANICSBURG PA 17055
P~nn~y(vania ~
DEPARTMENT OF REVENUE
R~-0.607 EX AFP C12-10)
DATE
ESTATE OF 09-12.-20,11
DATE OF KEYSER
DEATH 09-28-20~p ANNA T
FILE NUMBER 21 10-10 3
COUNTY CUMBERLAND
ACN 101
Amount Remitt d
MAKE CHECK PAYABLE AND
R~MIT PAYMENT T0:
REGISTER OF WILLS
NOTE: To ensure 1 COURTHOUSE SQUARE ',
proper credit to CARLISLE p
CUT ALONG your account, submit the A 17013
........ THIS LINE ~ upper portion
REV-1603 EX~AFF3 ...................R ::::::. °f this form
C12-1 $) LOWER PORTION FOR with your tax
x** INHER~~gN~E"~A YOUR RECORDS payment.
~X. S~A~EMENT OFD ACCOUNT~••*:~ ~.^.^ .................
ESTATE OF:KEYSER
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN
TAX DUE, gppLICATION OF NO ~ ~ 21 1 0 - 1 023
ALL, PAYMENTS, THE CURRENT BALANCE, ACN' 101
THE NAMED ESTATE. ''DA'TE: 09-12-2011
AND, IF APPLICABLE,BELOW IS A SUM
A PROJECTED RY OF THE PRINCIPAL
II~TEpEST FIGURE.
DATE OF LAST ASSESSMENT
OR RECORD ADJUSTMENT: 08-29_2011
PRINCIPAL TAX DUE:
PAYMENTS
TAX CREDITS):
PAYMENT 5,874.76
DATE RECEIPT
12-20-2010 NUMBER INTEREST/PENT pgID
06-15-
2011
CD013809 C-) AMOUNT PAID
08-29-2011 CD014575 263.16
REFUND
.00 5,000.00
.00 624.76
13.16-
TOTAL 7AX PAYMENT
BALANCE 5.874.76
OF TAX DUE
INTEREST •00
AND PEN,
.00
IF PAID AFTER THIS DATE, TOTAL DUE
IF TOTAL DUE SEE REVERSE SIDE FOR CALCULATION OF
IS REFLECTED AS A '~CREDIT~~ ADDITIONAL INTEREST. •00
FOR INSTRUCTIONS. CCR), YOU Mqy
BE DUE A REFUND. SEE REVERSE SIDE OF
THIS FORM
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