HomeMy WebLinkAbout05-08-09 (2) COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL raxES ~ INHERITANCE TAX
INHERITANCE Tax Drv1S1oN STATEMENT- OF ACCOUNT
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PO BOX 280601
HARRISBURG PA 17128-0601 REV-1607 EX AFP (12-OS)
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DATE 04-27-2009
ESTATE OF ADAMS BETTY
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~- DATE OF DEATH 01-23-2008
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r,C,r~ - ' FILE NUMBER 21 08-0107
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BONNIE ROUSH ~~
ACN 08113415
447 OAK FLAT RD
NEWVILLE
PA 17241 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF 'WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure 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 RECOF:DS ~
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REV-1607 EX AFP C12-08) *** INHERITANCE TAX STATEMENT OF ACCCIUNT ***
ESTATE OF ADAMS BETTY FILE N0. 21 08-0107 ACN 08113415 DATE 04-27-2009
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN 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: 03-30-2009
PRINCIPAL TAX DUE:
197.94
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 05-12-2009 TOTAL TAX CREDIT
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.* BALANCE OF TA,X DUE
INTEREST AND PEN.
* IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST. L
C IF TOTAL DUE IS LESS THAN S1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
.00
197.94
6.20
204.14