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BUREAU OF INDIVIDUAL TAXES "., ,,,,~~IERITANCE TAX
POHBOxT280601~ DIVISION ~-' ,,JSL'si ~-STA7"EMENT OF ACCOUNT
HARRISBURG PA 17128-0601
201a JAN -$ PPS 1~ 13
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LINDA J OLSEN ES~~-'~A~{-~% ~ ~, ;1-~~~~~ ~P~
KILLIAN 8~ GEPHAT
PO BOX 886
HBG PA 17108-0886
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
DATE 12-28-2009
ESTATE OF KONKLE EDNA E
DATE OF DEATH 03-04-2009
FILE NUMBER 21 09-0244
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To ensure 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-1603 EX AF~ C12-09) **~ INHE~tITANCE TI1X STATEMENT OF ACCOUNT ***
ESTATE OF:KONKLE EDNA E FILE NO.: 21 09-0244 ACN: 101 DATE: 12-28-2009
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. 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: 11-09-2009
PRINCIPAL TAX DUE: 2,803.01
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-01-2009 CD011299 139.76 2,655.49
12-01-2009 CD012060 .00 7.76
TOTAL TAX PAYMENT 2,803.01
BALANCE OF TAX DUE .00
INTEREST AND PEN. ~ .00
TOTAL DUE
00
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.