HomeMy WebLinkAbout01-03-11x.n ,
pennsylvania
~~~~~~~~~ !rye ~ !~~ ~~~ INHERITANCE TAX DEPARTMENT OF REVENUE :
BUREAU OF INDIVIDUAL-~~5 REV-1607 EX AFP C12-10)
INHERITANCE TAX DIVISION ~,,F, ~' ~ `' ~ ~ STATEMENT OF ACCOUNT
PO BOX 280601 I ,~-~,'I'::~ a , i a.. v . !'_ ..: ,,
HARRISBURG PA 17128-0601
r. r F~ ~ " q .rr Y -. t '~ °~
r.
WILLIAM I~i~'i~~ , .~ 4~~F., ' ~` ,
1 IRVINE ROW
CARLISLE PA 17013
DATE 12-27-2010
ESTATE OF ADAMS MARIAN M
DATE OF DEATH 09-14-2009
FILE NUMBER 21 09-0897
COUNTY CUMBERLAND
ACN 101
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 LINE _~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ _ _ _
REV X1607 SEX AFP C12 10~ ~ ~~~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ~~*** ~~~~~~~~ ~ ~~~~ ~~~~~
ESTATE OF:ADAMS MARIAN M FILE NO.: 21 09-0897 ACN: 101 DATE: 12-27-2010
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: 11-22-2010
PRINCIPAL TAX DUE:
2,474.93
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-21-2010 CDD13381 .00 2,474.93
12-01-2010 CD013731 26.95- 26.95
TOTAL TAX PAYMENT I 2,474.93
BALANCE OF TAX DUE .00
INTEREST AND PEN. .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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.