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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ,- ~ ~,, ~ ,i"~i +HE`,~tITANCE TAX REV-1607 EX AFP (12-09)
INHERITANCE TAX DIVISION r.- ~STATfMENT OF ACCOUNT
PO BOX 280601 ~~t~l`~l;_,~i •.~~ ....,
HARRISBURG PA 17128-0601 ~ "
Z~~~ ~~~ _~ ~~ ~ ~ ( 3 DATE 12-28-2009
ESTATE OF COY CHRISTY H
DATE OF DEATH 10-14-2008
C~~~~~%r FILE NUMBER 21 08-1043
~~~~~~ ~ ~U ~~~ COUNTY CUMBERLAND
LISA C COY (;if~1,#~'~= `:_~ _'t~: PR. ACN 101
49 W ORANGE ST
Amount Remitted
SHIPPENSBURG PA 17257
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17018
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT AlON6 THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS _
REV 107 EX AFP (12 09) ~~~~~ ~~* IN~ER~TANCE TAX STATEMENT~OF ACCOUNT ~~~~ ~~~~~~~ ~~~~~~~~~~~~~
ESTATE OF:COY CHRISTY H FILE NO.: 21 08-1043 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: 11-23-2009
PRINCIPAL TAX DUE: 5,796.34
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-16-2009 CD011369 .00 5,756.28
12-01-2009 CD012063 .77- 40.91
TOTAL TAX PAYMENT ~ 5,796.42
BALANCE OF TAX DUEI .08CR
INTEREST AND PEN. ~ .00
TOTAL DUE
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
.08CR