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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
D~PARTMENT OF REVENUE
PF'ORvEO O~F\C~ ~')~INHERITANCE TAX
, ...' (':l. \~!StATEHENT OF ACCOUNT
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REV-1607 EX AFP (03-05)
DENISE L
POBOX 852
MECHANICSBURG
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
12-04-2006
ANOKA
07-18-2005
21 05-0722
CUMBERLAND
05500662
RUTH
A
PA 17055
Amount Remitted
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 form with your tax payment.
CUT ALONG THIS LINE
-+
RETAIN LOWER PORTION FOR YOUR RECORDS
+-
REV-1607 EX AFP (03-05)
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*** INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF ANOKA
RUTH
A FILE NO.21 05-0722
ACN 05500662 DATE 12-04-2006
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: 720.00
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-07-2006 CD007420 27.10- 747.10
TOTAL TAX CREDIT 720.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .96
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .96
II
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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