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~ DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDUAL TAXES TAX
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INHERITANCE TAX DIVISION ~'~-`..;I'J~_.~~ ~~~ '~Aq`EMENT OF ACCOUNT REV-1607 IX AFP C10-09)
PO BOX 280601 ?(1' n ~~~
HARRISBURG PA 17128-0601 L U U P~ 1~
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, DATE 12-07-2009
CLEFK (~~= ESTATE OF TREPANIER HELEN M
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~A FILE NUMBER 21 06-0285
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COUNTY
CUMBERLAND
JOSHUA M GOLDBERGER ESQ ACN 101
KREVSKY ~ ROSEN
Amount Remitlted
1101 N FRONT ST 2ND F
HBG PA 17102
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 (Nf RETAIN LOWER POsRTION FOR YOUR RECORDS ~ __ __
REV 1607 EX AFP ~~10 09) ~~~~~**~ IN~IERIT~-NCE 'IAX STATEMENT~OF ACCOUNT~~***~~~~~~~~~~~~ ~~ ~~~
ESTATE OF:TREPANIER HELEN M FILE NO.: 21 06-0285 ACN: 101 DATE: 12-07-2009
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 PROJECTgD INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-20-2007
PRINCIPAL TAX DUE: 11,838.96
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
05-14-2006 CD006710 591.95 12,550.17
11-18-2009 REFUND .00 1,303.16-
TOTAL TAX PAYMENT I 11,838.96
BALANCE OF TAX DUEI .00
INTEREST AND PEN. ~ .00
I TOTAL DUE I .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.
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