HomeMy WebLinkAbout05-08-09 (4)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION S TAT E M E N T O F A C C O U N T
PD Box 2ao6o1
HARRISBURG PA 1~12a-0601 - - -'
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447 OAK FLAT RD
NEWVILLE PA 17241
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
04-27-2009
ADAMS BETTY
01-23-2008
21 08-0107
CUMBERLAND
08113414
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 RECORDS ~--
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REV-1607 EX AFP (12-OS) *** INHERITANCE TAX STATEMENT OF ACCCIUNT ***
ESTATE OF ADAMS BETTY FILE N0. 21 08-0107 ACN 08113414 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:
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) 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
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
9.56
.00
9.56
.30
9.86