HomeMy WebLinkAbout05-24-13 RECORGEC , e=,VE OF pennsylvania
""���,� DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES RLGiSTEK 'VINWEALTANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION
BOX 2806
PO BOX 2806 STATEMENT OF ACCOUNT
01
HARRISBURG PA 17128-0601 ?JE,3 FI8(J (�2 11 t 11 2 07
DATE 05-20-2013
CLERK OAT ESTATE OF KOPPELMAN LOUISE
ORPHANS' COURT DATE OF DEATH 12-27-2010
CU€ 6ERLl:idd0 CO., M FILE NUMBER 21 11-0036
COUNTY CUMBERLAND
WILLIAM R KAUFMAN
ACN 101
STE B
940 CENTURY DR Amount Remitked
MECHANICSBURG PA 17055-4376
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 (--
REV-1607 EX AFP (12-12) ■;; INHERITANCE TAX STATEMENT OF ACCDUNT X*;
ESTATE OF:KOPPELMAN LOUISE FILE NO. : 21 11-0036 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: 08-27-2012
PRINCIPAL TAX DUE: 74,181 .49
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-24-2011 CDO14195 3,709. 07 75,000.00
05-02-2013 REFUND .00 4,527.58-
TOTAL TAX PAYMENT 74,181 .49
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.