HomeMy WebLinkAbout06-05-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL raxES _ _ _ _ _ INHERITANCE TAX
INHERITANCE TAX DIVISION S TA T E M E N T O F ACC 0 U N T
PO BOXe'80601
HARRISBURG PA 17128-0601
DAVID M ADAMS
423 CHESTNUT ST
MT HOLLY SPRGS
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PA 17065
DATE
ESTATE OF
DATE OF DEA
FILE NUMBER
COUNTY
ACN
REV-1607 EX AFP C12-08)
05-26-2009
ADAMS BETTY
TH 01-23-2008
21 08-0107
CUMBERLAND
08113418
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NO1•E: 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 ~
REV-1607 EX AFP (12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF ADAMS BETTY FILE N0. 21 08-0107 ACN 08113418 DATE 05-26-2009
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: 05-06-2009
PRINCIIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DA1fE NUMBER INTEREST/PEN PAID C-)
04-23••2009 CD011156 .00
* IF PAID AFTER THIS DATE, SEE REVERSE
SIDE 1=0R CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN 81,
NO PA`fMENT IS REQUIRED.
AMOUNT PAID
13.12
.00
TOTAL TAX CREDIT 13.12
BALANCE OF TAX DUE 13.12CR
INTEREST AND PEN. .00
TOTAL DUE 13.12CR
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU M/\Y BE DUE A REFUND. SEE REVERSE SIDE OF THTS FnoM rno ru~rn~~..~.......