HomeMy WebLinkAbout10-16-12BUREAU OF INDIVIDUAL TAXES ,r\[~( 1}. j' ~~~ERITANCE TAX
INHERITANCE TAX DIVISION ~~~Jf;L~t,~ 111
Po sox zaocol ~f~~4~-E'r Fti....llll , .~.v MENT OF ACCOUNT
HARRISBURG PA 17128-0601
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Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-11)
2012 OCT l 6 PM I ~ ~ (j DATE 10-09-2012
ESTATE OF KOVLAK HILMA 'i L
DATE OF DEATH 10-13-2011
,, ~,.; , ~_ FILE NUMBER 21 11-llbl
MURREL WALTERS ~ 5 vJ~~1~ COUNTY CUMBERLAND
54 E MAIN ST ~~~"-'"'~ ~'~^ PA ACN 101 ~,
1
MECHANICSBURG PA 17055-3851 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 pa ment.
CUT ALONG THIS LINE - _ - - -~_ RE_TAIN LOWER PORTION FOR YOUR RECORDS _ ~--
REV-1607 EX AFP C12-11~ **~ INHERITANCE TAX STATEMENT OF ACCOUNT ~** -----
ESTATE OF:KOVLAK HILMA L FILE N0.:21 11-1161 ACN: 101 DATE: 10-09 2012
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELDW 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:
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
01-06-2012 CD015425 2,842.11 54,000.00
05-15-2012 CD015969 .00 3,708.79
09-18-2012 REFUND .00 142.11-
-20-201
b0,408.79
TOTAL TAX PAYMENT 60,4 8.79
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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