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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO 80X 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
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REV-1601 EX AFP (03-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-07-2007
MILLER
05-27-2006
21 06-0480
CUMBERLAND
101
MARGARET
E
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TERRENCE J KE~lN 'ESQ , .
KERWIN & KERWrN
4245 ROUTE 209
ELIZABETHVILLE PA 17023
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
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REV-1607 EX AFP (03-05)
*** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF MILLER
MARGARET E FILE NO. 21 06-0480
ACN 101
DATE 05-07-2007
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: 04-30-2007
PRINCIPAL TAX DUE: 15,772.50
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-25-2006 CD007014 788.63 17,000.00
TOTAL TAX CREDIT 17,788.63
BALANCE OF TAX DUE 2,016.13CR
INTEREST AND PEN. .00
if IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 2,016.13CR
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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