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HomeMy WebLinkAbout01-17-12 r t'F r pennsyLvania ~ BUREAU OF INDIVIDUAL TAXffS INHERITANCE TAX DIVISION Y~NHER~T~~~C E TAX DEPARTMENT OF REVENUE PO BOX 280601 ~'' ~STATEME'N`fi!.~JOF ACCOUNT REV-1607 EX AFP C12-11) HARRISBURG PA ].7128-0601 " '±~ ~ ~ rsi, f j ` j ;~, DATE 01-09-2012 ESTATE OF ADAMS JOSEPH R ~'LCF,"~ '`~' V ~. i ~ '~. ~f DATE OF DEATH 05-08-2011 ., ~L.f~ i4 ~r,,;~, ~"~^, ,r FILE NUMBER 21 11-1044 IVA L A AMS ~'~ (~ ' ~ ..' ,~ COUNTY CUMBERLAND 104 CLARKTON T ACN :L1163848 LEMOYNE PA 17043-2011 Amount Remitted i 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. CU T_ ALONG T_HI_S_ L_I_NE _ _ REV-1607 EX AFP (12- ~_ _ RETAIN LOWER P_ORT_ION FOR YOUR RECORDS _ E-- _ ~.1) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~** ~~~-""""" ESTATE OF:ADAMS JOSEPH R FILE NO.: 21 11-1044 ACN» 11163848 DATE: 01-09-2012 THIS STATEMENT PROVIDES C RRENT 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: 11-07-2011 PRINCIPAL TAX DUE: ~F; ~n PAYMENTS CTAX CREDITS'I): PAYMENT REC IPT DISCOUNT C+) DATE NUM ER INTEREST/PEN PAID (-) AMOUNT PAID 10-03-2011 CD015034 .00 11-23-2011 CDO15254 75.20 .00 75.20 TOTAL TAX PAYMENT 150.40 BALANCE OF TAX DUE 75.20CR INTEREST AND PEN. .00 TOTAL DUE 75.20CR ~ IF PAID AFTER THIS DATE,~I SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTEID AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.