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COMMONWEALTH OF PENNSYLVANIA
,..,,-,--,..,rD.EPARTMENT OF REVENUE
()I.,.t ;;I'NHERITANCE TAX
stATEMENT OF ACCOUNT
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
Z008 ..IAN -4 PM 12: II
REV-1607 EX AFP <03-05)
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JULIE SCHWEITZER
8 MARY AVENUE
MECHANICSBURG PA 17055
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
12-24-2007
WOODS
10-21-2006
21 06-0954
CUMBERLAND
07002496
SAMUEL
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
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RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-1607 EX AFP (03-05)
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*** INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF WOODS
SAMUEL
FILE NO. 21 06-0954
ACN 07002496 DATE 12-24-2007
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: 12-17-2007
PRINCIPAL TAX DUE: 1,309.08
PAYMENTS (TAX CREDITS):
BAL
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-10-2007 CD008970 .00 1,309.08
ANCE OF UNPAID INTEREST/PENALTY AS OF 11-11-2007 TOTAL TAX CREDIT 1,309.08
BALANCE OF TAX DUE .00
INTEREST AND PEN. 32.11
If IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 32.11
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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