HomeMy WebLinkAbout09-18-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
"+~'('[;~ r' ~~= `<~'~~NHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES +' .,_;~~~J ~. + ``
INHERITANCE TAX DIYISION ^~~".~{'";"~ +',, SiTiA~`EMENT OF ACCOUNT
PO BOX 280601 ~'~._u ~,j ~ ~, 1 :1+~ ~~. uv
HARRISBURG PA 17128-0601
ZOD9 SEP { 8 PM IZ~ 46
Gl.EfiK OF
o~~u~~s GOIJRT
GARY ENDRESC,~IP,~~rN Lr`~"~~'~ r~., ~~
275 EAST SPRING VALLEY
RD
DILLSBURG PA 17019
REV-1607 EX AFP (12-08)
DATE 09-08-2009
ESTATE OF FERNANDES JOSEPH
DATE OF DEATH 10-12-2008
FILE NUMBER 21 08-1164
COUNTY CUMBERLAND
ACN 09105003
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 ~
---------------------------------------------------------------------------
REV-1607 EX AFP (12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~**
ESTATE OF FERNANDES JOSEPH FILE N0. 21 08-1164 ACN 09105003 DATE 09-08-2009
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: 09-03-2009
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
.00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
^ IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1,
NO PAYMENT IS REpUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
.00
.00
.00
.00
s~