HomeMy WebLinkAbout05-24-13 . pennsylvania
j DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX - --
REY-160] EX AFP (12-12)
INHERITANCE TAX DIVISION
STATEMENT PD BOX 280601 OF ACCOUNT
OF
HARRISBURG PA 17128-0601 RECORDED OFI I^,_
R99EGISTER OF ;,'IL! S DATE 05-20-2013
AID IIh!1� 2`I pjj ESTATE OF KLEIN PHILOMENA T
07 DATE OF DEATH 12-18-2012
FILE NUMBER 21 13-0164
CLERK OF COUNTY CUMBERLAND
MICHAEL KLEIN CR DLa ��• _i_ ACN 101
336 W MEADOW DR
MECHANICSBURG PA 01 Amount Remitketl
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 F
REV-1607 EX AFP C12-12) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:KLEIN PHILOMENA T FILE NO. : 21 13-0164 ACN: 101 DATE: 05-20-2013
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: 04-22-2013
PRINCIPAL TAX DUE: 4,663.20
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-08-2013 CDO17294 232.51 4,417.78
05-06-2013 CDO17563 .00 12.91
TOTAL TAX PAYMENT 4,663.20
BALANCE OF TAX DUE . 00
INTEREST AND PEN. .00
TOTAL DUE
.00
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.