HomeMy WebLinkAbout02-05-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTE
MICHAEL S PATRICK
440 WALNUT ST #202
KNOXVILLE TN 37902
Amoun
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
ro ensure Proper credit to Your account, submit the upper Portion of this for th your tax payment.
CUT ALONG THIS LINE
REV-1607 EX AFP C12-
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RETAIN LOWER PORTION FOR YOUR RECORDS
** INHERITANCE TAX STATEMENT~OF~ACCOUNT~~***~~~~~~~••^•^•••^•••^•
ieMFS R FILE NO.: 21 09-1028 ACN: 09006175 DATE: 02-01-2010
__. _.. ... ~n~Meov of THE PRINCIPAL
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN TH
.eoirrerrON OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
TAJC Lue, e.~~ ~.-r..----
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-25-2010
1,210.40
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
RECEIPT DISCOUNT L+~
PAYMENT NUMBER INTEREST/PEN PAID C-1
DATE
.00
01-05-2010 CD012203
1,210.40
1,210.40
TOTAL TAX PAYMENT
.00
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
TOTAL DUE .00
* IF PAID AFTER THIEFDECTEDSAS AE"CREDIT'D CCR)R YOUCMAYTBENDUE ADREFUNDALSEETREVERSE SIDE OF THIS FORM
IF TOTAL DUE IS R
FOR INSTRUCTIONS.
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
DATE 02-01-2010
2Q10 FE$ -s AM~~r~ OF PATRICK JAMES R
DATE OF DEATH 08-11-2009
CL~~K(~~ FILE NUMBER 21 09-1028
Q~f~}j~~'~' CO~J~ LINTY CUMBERLAND
~~ ~~ ~ 09006175
t Remitted
AMOUNT PAID