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BUREAU OF INDIVIDUAL TAXES-,. ~4 ~_(~ NERITXN~E TIC
PO tA(T2d0601~ DIVISION t~~~-~1t~,l~i ~~ 4"~~~ i, ~MENT OF ACCOUNT
NARRISdUR6 PA 17128-0601 `'°•s••'J
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FOREST N MY~~+-~~~ C -C,~.. P~
LAW OFC FOREST N MYERS
137 PARK PL W
SHIPPENSBURG PA 17257-9212
pennsylva~ia
DEPARTMENT OF REVENUE
REY-1607 D( AFP C12-09)
DATE 06-07-2010
ESTATE OF MOWERY RANDALL W
DATE OF DEATH 07-20-2009
FILE NUMBER 21 09-0786
COUNTY CUMBERLAND
ACN 101
Amoun# Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUlT~ ALONS THIS LtI~N~-E~ ~- RETAIN LOWWER PQRTION FORYr OUR RR*CaRDS
~~Y -~r C i Z • ~~~~s~~~s * ~~~~~~A~~~~~~~~~~~NT D~~A~~~~ ~E ~E ~lE r~~ir~re~~~~~~~~~~~ ~~•
ESTATE OF:MOWERY RANDALL W FILE NO.: 21 09-0786 ACN: 101 DATEa 06-07-2010
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: 04-05-2010
PRiNCIPAI TAX DUE: 3,639.79
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-21-2009 CD011882 .00 3,647.80
05-07-2010 CD012727 .15- 192.14
06-04-2010 SBADJUST .00 .21
TOTAL TAX PAYMENT 3,839.79
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
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.