HomeMy WebLinkAbout05-11-12(fir ~~ ~ r.rlr r
BUREAU OF INDIVIDUAL TAXES r1r ~,~~~~RITANCE TAX
INHERITANCE TAX DIVISION ~ 3 T /1~'~-ECM E N T O F A C C O U N T
PO BOX 280601 -
HARRISBURG PA 17128-0601
,~'~'r?a~Y I 1 N;~~I,~
CHARLES E SHIELISS PI~II~L~~~~ ~'~" PA
6 CLOUSER RD
MECHANICSBURG PA 17055-9751
Pennsylvania
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-11) ---
DATE 05-07-2012
ESTATE OF KIRKMAN HELEN B
DATE OF DEATH 12-08-2010
FILE NUMBER 21 10-1256
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 1.7013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~___ RE_TAIN LOWER P_ORTI_ON FOR YOUR RECORDS _~
REV-1607 EX AFP C12-11~ **~ INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:KIRKMAN HELEN B FILE NO.: 21 10-1256 ACN: 101 DATE: 05-07-2012
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: 04-16-2012
PRINCIPAL TAX DUE: 11,945.~.~1
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID (-) AMOUNT PAID
02-19-2011 CD014042 90.31 1,715.88
10-25-2011 CD015113 .00 4,200.00
10-25-2011 CD015112 39.08- 6,051.77
TDTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
12,018.88
73.17CR
.00
73.17CR
+ 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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