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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2BO&01
HARRISBURG PA 17128-0601
STEVEN L GOUSE
23RD STREET EXT
ENOLA PA 17025
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
'*
REV-1607 EX AFP (03-05)
07-16-2007
GOUSE
10-01-2006
21 06-1050
CUMBERLAND
06157535
Amount Remitted
WALTER
E
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
E FILE NO. 21 06-1050
RETAIN LOWER PORTION FOR YOUR RECORDS
+-
CUT ALONG THIS LINE
-+
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
ESTATE OF GOUSE
WAL TER
*** INHERITANCE TAX STATEMENT OF ACCOUNT ***
REV-1607 EX AFP (03-05)
ACN 06157535 DATE 07-16-2007
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-18-2006
PAYMENT
DATE
RECEIPT DISCOUNT (+)
NUMBER INTEREST/PEN PAID (-)
AMOUNT PAID
06-18-2007
*** SUMMARY OF LL 006 PAYMENTS ***
3.27
166.72
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.
PRINCIPAL TAX DUE: 65.35
PAYMENTS (TAX CREDITS):
TOTAL TAX CREDIT
BALANCE OF TAX DUE
* IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL DUE
INTEREST AND PEN.
( 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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