HomeMy WebLinkAbout06-22-12 (3)~ '~''"' E TAX
BUREAU OF INDIVIDUAL TAXES ~_ ~ ,t~~~~~€1
INHERITANCE TAX DIVISION ~~~~Mf.ld; , ACCOUNT
PO BOX 280601 , ' ~ti I ! J
HARRISBURG PA 17128-0601 °~,?'~''t;^~ ~^~' '
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-lll
~l~i ~~~ ~~ ~~'~: ~+.~ DATE 06-18-2012
U ESTATE OF KELLER INA M
DATE OF DEATH 12-09-2009
FILE NUMBER 21 09-1175
yO~~R~PHiliv~u C:l)U~r COUNTY CUMBERLAND
MICHAEL WEAVER ~+umDC~~~ C~. PA ACN 10103406
107 HAIRE AVE
Amount Remitted
LEWISBURG PA 17837-9204
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-1607 EX AFP C12-11) ~~* INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:KELLER INA M FILE N0.:21 09-1175 ACN: 10103406 DATE: 06-18-2012
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: 11-02-2010
PRINCIPAL TAX DUE: 1,579.75
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-02-2010 CD012845 .00 1,579.75
TOTAL TAX PAYMENT ~ 1,579.75
BALANCE OF TAX DUET .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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