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Home My WebLink About96-0398 REV-1548 EX AFP (12-95) NOTICE OF INHERITANCE TAX COMMONWEALTH OF PENNSYLVANIA APPRAISEMENT ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE OF DEDUCTION, AND ASSESSMENT OF TAX ON BUREAU OF INDIVIDUAL TAXES JOINTLY MELD OR TRUST ASSETS DEPT. 280601 HARRISBURG, PA 17128-0601 DATE 09-16-96 ESTATE OF COOK FRANK A DATE OF DEATH 05-22-94 COUNTY CUMBERLAND FILE N0. 21 96-0398 S.S/D.C. N0. 164-30-3946 SHIRLEY C COLEMAN 31 FORT ST LEMOYNE PA 17043 Amount Remitted CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS t ---------------------------------------------------------------------------------------------------------------- REV-1548 EX AFP (12-95) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 09-16-96 ESTATE OF COOK FRANK A DATE OF DEATH 05-22-94 COUNTY CUMBERLAND FILE N0. 21 96-0398 S.S/D.C. N0. 164-30-3946 ACN 96102169 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT N0. 21001022338 TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING ( ) TRUST (X) TIME CERTIFICATE DATE ESTABLISHED 03-10-88 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 10,056.22 X 0.083 .837.98 .00 837.98 X .15 125.70 ACN 96102169 REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST (-) AMOUNT PAID 06-29-96 AA112992 15.31- 125.70 INTEREST IS CHARGED FROM 06-30-96 TO 09-24-96 TOTAL TAX CREDIT 110.39 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 15.31 REVERSE SIDE OF THIS FORM INTEREST AND PEN. .33 TOTAL DUE 15.64 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. -- ~~~•~ ..~~~ t~ nor orTrn ec A ~•f RFOTT•• t CRl . YOU MAY BE DUE A REFUND. r, ~_ REV-1548 EX AFP (12-95) NOTICE OF INHERITANCE TAX COMMONWEALTH OF PENNSYLVANIA APPRAISEMENT ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE OF DEDUCTION, AND ASSESSMENT OF TAX ON BUREAU DF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS DEPT. 280601 HARRISBURG, PA 17128-0601 DATE 0 9 -16 - 9 6 ESTATE OF COOK FRANK A DATE OF DEATH 05-22-94 COUNTY CUMBERLAND FILE N0. 21 96-0398 S.S/D.C. N0. 164-30-3946 SHIRLEY C COLEMAN 31 FORT ST LEMOYNE PA 17043 ACN 96102171 REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Amount Remitted CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS t ---------------------------------------------------------------------------------------------------------------- REV-1548 EX AFP (I2-95) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 09-16-96 ESTATE OF COOK FRANK A DATE OF DEATH 05-22-94 COUNTY CUMBERLAND FILE N0. 21 96-0398 S.S/D.C. N0. 164-30-3946 ACN 96102171 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT N0. 21001022337 TYPE OF ACCOUNT: ( ) SAVINGS C ) CHECKING C ) TRUST C)p TIME CERTIFICATE DATE ESTABLISHED 03-10-88 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 10,056.22 NOTE: X 0.083 837.98 - .00 837.98 X .15 125.70 TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT.'• PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST (-) AMOUNT PAID 06-29-96 AA112992 15.31- IZ5.70 INTEREST IS CHARGED FROM 06-30-96 TO 09-24-96 TOTAL TAX CREDIT 110.39 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 15.31 REUERSE SIDE OF THIS FORM INTEREST AND PEN. .33 TOTAL DUE 15.64 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LE55 THAN S1, NO PAYMENT IS REQUIRED. _~ _.._•~ +,~~~ =c ocn crTCn sc a ••ceFnTT•• ( CR1 . YOU MAY BE DUE A REFUND. ~~ - ~ r' ~ J ~ ti' 1 ~. REV-1548 EX AFP ( 12-95) NOTICE OF INHERITANCE TAX COMMONWEALTH OF PENNSYLVANIA APPRAISEMENT ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON BUREAU OF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS DEPT. 280601 HARRISBURG, PA 17128-0601 DATE OS-19-96 ESTATE OF COOK FRANK A DATE OF DEATH 05-22-94 COUNTY CUMBERLAND FILE N0. 21 96-0398 SHIRLEY S COOK 31 FORT ST LEMOYNE S.S/D.C. N0. 164-30-3946 PA 17043 ACN ~ 96103809 REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Amount Remitted CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~ ---------------------------------------------------------------------------------------------------------------- REV-1548 EX AFP (12-95) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 08-19-96 ESTATE OF COOK FRANK A DATE OF DEATH 05-22-94 COUNTY CUMBERLAND FILE N0. 21 96-0398 S.S/D.C. N0. 164-30-3946 ACN 96103809 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK ACCOUNT N0. 210001022336 TYPE OF ACCOUNT: C ) SAVINGS ( ) CHECKING C ) TRUST CX) TIME CERTIFICATE DATE ESTABLISHED 03-10-88 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 10,056.22 X 0.083 837.98 .00 837.98 X .06 50.24 NOTE: TO INSURE PROPER CREDIT TO . YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX. PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE•ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST (-) AMOUNT PAID 05-15-96 AA112847 5.56- 50.24 INTEREST. IS CHARGED FROM 05-16-96 TO 08-27-96 TOTAL TAX CREDIT' 44.68 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 5.56 REVERSE SIDE OF THIS FORM INTEREST AND PEN. .14 TOTAL DUE 5.70 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. (, IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND. --- --..-ww~ w~..r wr r~~tr rneu CAD T~ICT OI If`TTn~IC 1 ~. I~ , rid'' `~~r ~/ -~- (; REV-1548 EX AFP (12-95) NOTICE OF INHERITANCE TAX COMMONWEALTH of PENNSYLVANIA APPRAISEMENT ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE OF DEDUCTION, AND ASSESSMENT OF TAX ON BUREAU OF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS DEPT. 280601 HARRISBURG, PA l~lzB-obol DATE 08-19-96 ESTATE OF COOK FRANK A DATE OF DEATH 05-22-94 COUNTY CUMBERLAND FILE N0. 21 96-0398 S.S/D.C. N0. 164-30-3946 EULAH F GRUGAN 31 FORT ST LEMOYNE PA 17043 Amount Remitted CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS 1 ---------------------------------------------------------------------------------------------------------------- REV-1548 EX AFP (12-95) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 08-19-96 ESTATE OF COOK FRANK A DATE OF DEATH 05-22-94 COUNTY CUMBERLAND FILE N0. 21 96-0398 S.S/D.C. N0. 164-30-3946 ACN 96102172 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING ( ) TRUST ( ~ TIME CERTIFICATE DATE ESTABLISHED 03-10-88 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 10,056.22 X 0.083 837.98 - 837.98 .00 X .15 .00 ACN •96102172 REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ACCOUNT N0. 21001022337 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE . UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK DR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST (-) AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 • TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. • IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, VOU MAY BE pUE A REFUND. e•~~ nom.. ~'DP~ PT.\C AC TIJTC L/~OY GAO T\1 G`TOI 1/`T T/\.IC \ BORE INHER DEPT. HARRISBURG, PA 17128 0601 REV-1607 E% pFP c03-961 ~ ~ ~ ~C~~ ~-~ COMMONWEALTH OF PENNSYLVANIA C-~ ~ AU OF INDIVIDUAL TAXES ITANCE TAX DIVISION I N H E R I TA N C E TA X z8o6D1 STATEMENT OF ACCOUNT DATE 09-30-96 ESTATE OF COOK FRANK A DATE OF DEATH 05-22-94 FILE NUMBER 21 96-0398 COUNTY CUMBERLAND SHIRLEY S COOK ACN 96103809 31 FORT ST Amount Remitted LEMOYNE PA 17043 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: 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 1 ---------------------------------------------------------------------------------------------------------------- REV-1607 EX AFP (03-96) *** INHERITANCE TAX STATEMENT OF ACCOUNT **~ ESTATE OF COOK FRANK A FILE N0. 21 96-0398 ACN 96103809 DATE 09-30-96 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN T-HE 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: 08-12-96 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): 50.24 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST (-) AMOUNT PAID 05-15-96 AA112847 5.56- 50.24 08-28-96 AA146706 .14- 5.72 :_.1 TOTAL TAX CREDIT 50.26 BALANCE OF TAX DUE .02CR INTEREST AND PEN. .00 * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .02CR SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), v~~~ u.v Dc n~~c • Dc cilun cCC DC\/C DCC CT\\C AC TIJTC CADM CAD TWCT DII(`T Tf7WC 1 DEPARTMENT OF REVENUE ~~-/~3~ -~ COMMONWEALTH OF PENNSYLVANIA ~ 4-~ DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION I N H E R I TA N C E TAX DEPT. 280601 STATEMENT OF ACCOUNT HARRISBURG, PA 17128-0601 REV-1607 E% AFD (OS-967 DATE 09-30-96 ESTATE OF COOK FRANK A DATE OF DEATH 05-22-94 FILE NUMBER 21 96-0398 COUNTY CUMBERLAND SHIRLEY S COOK ACN 96103810 31 FORT ST Amount Remitted LEMOYNE PA 17043 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: 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 (03-96) ~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ~~~ ESTATE OF COOK FRANK A FILE N0. 21 96-0398 ACN 96103810 DATE 09-30-96 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: 07-29-96 PRINCIPAL TAX DUE: 50.24 PAYMENTS (TAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST (-) AMOUNT PAID 05-15-96 AA112847 5.56- 50.24 08-28-96 AA146706 .14- 5.72 ,, ~ CJ TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), V(lll MAV AC n11C A DG GI IIJfl CCC DCUCDCC CTnC !IC TI.ITC CRDM Cl1D TIJCT DIIrTTflWC 1 50.26 .02CR .00 .02CR ;~~ (~~ ~~ BUREAU OF INDIVIDUAL TAXES INFO=RITANCE TAX DIVISION DEPT. 280601 F0IRRISBlA26, PA 17128-0601 SHIRLEY C COLEMAN 31 FORT ST LEMOYNE PA 17043 DATE 10-15-96 ESTATE OF COOK FRANK A DATE OF DEATH 05-22-94 FILE NUMBER 21 96-0398 COUNTY CUMBERLAND ACN 96102169 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subwit the upper portion of this form with your tax payment. CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS t ---------------------------------------------------------------------------------------------------------------- REV-1607 EX AFP (03-96) ~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ~~x ESTATE OF COOK FRANK A FILE N0. 21 96-0398 ACN 96102169 DATE 10-15-96 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: 09-09-96 PRINCIPAL TAX DUE: 125.70 PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST C-) AMOUNT PAID 06-29-96 AA112992 15.31- 125.70 09-23-96 AA146770 .33- 15.64 * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT 125.70 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ^CREDIT^ (CR), ~VMI MAV DC n11C A DCCll~lt- CCC DC\,C DCC GTRC flE TYTC CNDM CflD TYCTDIIf`TTffYC \ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT Itev-uv Ez uvn lu-sa ~ ~- ~v ~ i BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 SHIRLEY C COLEMAN 31 FORT ST LEMOYNE PA 17043 COMMONWEALTH OF PENNSYLVANIA ~~ DEPARTMENT OF REVENUE L---- INHERITANCE TAX STATEMENT OF ACCOUNT t¢v-icu of ~- cu-u~ DATE 10-15-96 ESTATE OF COOK FRANK A DATE OF DEATH 05-22-94 FILE NUMBER 21 96-0398 COUNTY CUMBERLAND ACN 96102171 Amount Reeitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this fora with your tax payment. CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS t ---------------------------------------------------------------------------------------------------------------- REV-1607 EX AFP (03-96) ~(~(~[ INHERITANCE TAX STATEMENT OF ACCOUNT ~~(~ ESTATE OF COOK FRANK A FILE N0. 21 96-0398 ACN 96102171 DATE 10-15-96 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED AGN 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: 09-09-96 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): 125.70 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST C-) AMOUNT PAID 06-29-96 AA112992 15.31- 125.70 09-23-96 AA146770 .33- 15.64 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ^ IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN 41, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ^CREDIT^ (CR), VIf11 Y•V DG 11116 • OC CIIYII CCG OC\IC OCC CT11G AC Tl1TC C/1OY C/10 TYCT OI I/•T T/1YC 1 125.70 .00 .00 .00 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TA~[)Dnr:r} nll'F-c/I"C INHERITANCE TAX DIVISION '-,' " ' ,_, ,_, I "-'L PO BOX 280601 ;:n',c/',"_, ,'. HARRISBURG PA 17128-0601 "t,.:,,) C'1 INHERITANCE TAX STATEMENT OF ACCOUNT *' REV-1607 EX AFP (03-05) 2007 JUN 29 PH I: 25 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 COOK 05-22-1994 21 96-0398 CUMBERLAND 96102175 FRANK A EULAH 31 FORT LEMOYNE CLERK OF ~~N'S COURT F . "" Ir"~'1"\ P'A ST "":"":',,1 ','J. ': PA 17043 Amoun t Remi t te d MAKE CHECK PAYABLE AND REMIT PAYMENT TO: CUT ALONG THIS LINE NOTE: To insu~e p~ope~ c~edit to YOu~ account, submit the uppe~ po~tion of this fo~m with yoU~ tax payment. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- REV-1607 EX AFP (03-05) --------------------------------------------------------------------------- *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF COOK FRANK A FILE NO. 21 96-0398 ACN 96102175 DATE 06-18-2007 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: 08-12-1996 PRINCIPAL TAX DUE: 57.88 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-25-1996 AA112890 6.55- 57.88 EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT 51. 33 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 6.55 INTEREST AND PEN. 5.15 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 11 .70 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. ) ~ -