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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,-d,' INHERITANCE TAX
,STATEMENT OF ACCOUNT
REV-1607 EX AFP (03-05)
Z001 JUl 13 PH I: 45
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
07-02-2007
JEFFERIES
03-22-2006
21 06-0313
CUMBERLAND
101
MARIAN
L
CLER\\ OF
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PATRICIA R BROWN at$9- 1 0,:'.
SALZMANN HUGHES
354 ALEXANDER SPRNG R
CARLISLE PA 17013
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)
*** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF JEFFERIES
MARIAN
L FILE NO. 21 06 - 0313
ACN 101
DATE 07 - 02-2007
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: 08-07-2006
PRINCIPAL TAX DUE: 7,168.86
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-19-2006 CDo06848 358.44 6,810.42
06-12-2007 CDo08285 .00 669.62
TOTAL TAX CREDIT 7,838.48
BALANCE OF TAX DUE 669.62CR
INTEREST AND PEN. .00
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 669.62CR
*
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
('1
L;p
( 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. )