HomeMy WebLinkAbout10-30-09 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
��r�f �^�,�^ ti--IiV�FF�RITANCE TAX
BUREAU OF INDIVIDUAL TAXES ; � ��°`
INHERITANCE TAX n�v�s�or, ����:: , ��.� S TAT E M E N T O F A C C O U N T
PO BOX 280601 i•`.` •.r'�� ' �
HARRISBURG PA 17128-0601 ` - " " REV-1607 EX AFP C12-08)
��`�� �`��'� "� �'� !�� �� ESTATE OF ADAMS_2009 SANDRA L
�,, ..- , .-,-
DATE OF DEATH 11-06-2007
•.._ - FILE NUMBER 21 07-1068
���� COUNTY CUMBERLAND
��
PAULA D POTTERG� ACN 08500031
30 FAITH CIRCLE
Amount Remitted
CARLISLE PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
RE6ISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure 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-1607 EX AFP (12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF ADAMS SANDRA L FILE N0. 21 07-1068 ACN 08500031 DATE 10-19-2009
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN 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
BALANCE OF UNPAID INTEREST/PENALTY AS OF 09-24-2009 TOTAL TAX CREDIT 457.04
BALANCE OF TAX DUE .00
INTEREST AND PEN. 17.97
* IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 17.97
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN S1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT° CCR), �
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) �