HomeMy WebLinkAbout12-04-09r ~~~ ~, ~ ;_ Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES ~ ~^'`•" ~~-~ ~~N'~I~ITTANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIYISION 1;~ ~1~1~`~ 4~.~ T O F ACCOUNT REV-1607 EX AFP (10-09)
PO BOX 280601 'c++
HARRISBURG PA 17128-0601
~~Y7~~1~ -4 PM I~ 44 DATE 11-23-2009
ESTATE OF PATTON ADONIA L
DATE OF DEATH 12-01-2007
~~~ , FILE NUMBER 21 OS-0367
COUNTY CUMBERLAND
SAMUEL L ANDES ACN 101
525 N 12TH ST Amount Remitted
LEMOYNE PA 17043
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALON_6 THIS LINE ~_ RETAIN LOWER PORTION FOR YOUR RECORDS _
~Ef/~ 160 EX AF~P C10 09~ ~~~ ~ *~~ II~~IERITANCE TI~X S~~1~EME~IT~OF~A000I~N~F~ ~~~.~~~~~~~~~~~~°°~°~
ESTATE OF:PATTON ADONIA L FILE NO.: 21 08-0367 ACN: 101 DATE: 11-23-2009
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: 09-21-2009
PRINCIPAL TAX DUE: 14,798.35
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
04-22-2009 CD011141 .00 14,798.35 .-
10-27-2009 CD011904 570.86- 570.86.
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
14,798.
.00
.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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.