HomeMy WebLinkAbout10-29-10BUREAU OF INDIVIDUAL TAXES,
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
.;INHERITANCE TAX
STATEMENT OF ACCOUNT
~. ~~ : .
PAULA D POTTERGEN
30 FAITH CIRCLE
CARLISLE PA 17013
pennsylvania ~ r
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
DATE 10-25-2010
ESTATE OF ADAMS SANDRA L
DATE OF DEATH 11-06-2007
FILE NUMBER 21 07-1068
COUNTY CUMBERLAND
ACN 08500031
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT_ALONG THIS_LIN__E ~ RETAIN LOWER PORTION FOR YOUR RECORDS -~ _ _ _
~~~~ ~~~~~~~~~~~~ ~" ~~^••~••••• *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~~*** ~~~~~~ ~ ~~ ~~~~~r~~~
REV-1607 EX AFP C12-09~
ESTATE OF:ADAMS SANDRA L FILE N0.:21 07-1068 ACN: 08500031 DATE: 10-25-2010
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: 03-06-2009
PRINCIPAL TAX DUE:
457.04
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-23-2009 CD011797 11.58- 468.62
09-28-2010 CD013425 17.97- 17.47
TOTAL TAX PAYMENT 457,04
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE I .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.