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BUREAU OF INDIVIDUAL TAXEs;:"f(",',-r;',T,
INHERITANCE TAX DIVISION H-'., 'C.;' '_,-
PO BOX 280601 ' ,.,-
HARRISBURG PA 17128-0601 5
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
'*
REV-1607 EX AFP (03-05)
CLeO!1 OF
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RONALD S KEARN~t),
SMITH ET AL
804 WAYNE AYE
CHAMBERSBURG
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
12-18-2006
MILLER JR
12-14-2005
21 06-0236
CUMBERLAND
101
AlIOunt R_i tted
M
E
PA 17201
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
NOTE: To insure proper credit to your account. submit the upper portion of this for. with your tax pay.ent.
CUT ALONG THIS LINE
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
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*** INHERITANCE TAX STATEMENT OF ACCOUNT -*-
REY-1607 EX AFP (03-05)
ESTATE OF MILLER JR M E FILE NO.21 06-0236 ACN 101 DATE 12-18-2006
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: 10-23-2006
PRINCIPAL TAX DUE: 12.461.04
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-13-2006 CDO 07194 .00 15.849.69
11-28-2006 REFUND .00 3.388.65-
TOTAL TAX CREDIT 12.461. 04
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
II IF PAID AFTER THIS DATE. SEE REVERSE TOTAL DUE .00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1.
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR).
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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