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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO 80X 280601
HARRIS8URG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
" INHERITANCE TAX
STATEMENT OF ACCOUNT
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REV-1607 EX AFP (03-05)
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ROBERT C SAIDIS
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-15-2007
KAUFFMAN
01-11-2006
21 06-0106
CUMBERLAND
101
SYL VIA
S
A.ount Remitted
PA 17011
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insu~e p~ope~ c~edit to you~ account, submit the uppe~ po~tion of this fo~. with YOu~ 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 KAUFFMAN
SYL VIA
S FILE NO. 21 06-0106
ACN 101
DATE 05-15-2007
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: 03-12-2007
PRINCIPAL TAX DUE: 38,833.83
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-11-2006 CD006545 1,842.11 35,000.00
04-05-2007 CD007985 71 . 54 - 2,063.26
05-11-2007 SBADJUST .00 .87
TOTAL TAX CREDIT 38,833.83
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
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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