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' :f.-` ~~ , ~ TANCE TAX DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ,..;, ~ .,~; -, ~ ~ REV-1607 EX AFP (12-09)
INNERITANCE TAX DIVISION ~~'~-tiJ'TtEM~N'1' 0 ~+ ACCOUNT
PO 80X 288601
HARRIS811R6 PA 17128-8601
2Q~~ J~~ _~ P~ Z' ~ ~ DATE 06-28-2010
ESTATE OF BEHRENS RICHARD
~~~}( (~~ DATE OF DEATH 06-22-2009
~~-~~j~~(3~~T FILE NUMHEIR 21 09-0732
CHARLES E PETRIE CUM~~~~-°~'~:~ ~~~~~ ~~ COUNTY CUMBERLAND
ACN 101
3528 BRISBAN ST Amount Ramittod
HBG PA 17111
NAKE CHECK. PAYABLE AND REMIT PAYMENT TOt
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
NOTE: To ensure propar credit to your account, submit the upper portion of this form with your tax pay~ont.
CUT AL~yI~ClT~rHI~S~sLyL~NE ! ~ RETAIN~,~rTOWER PORTION. FOR~Yi~QU RE~CORDS~i~r_ ~+!~.
~~~ ! ~E]C A1' P C 1 A' ~ 0 ~ )s~rs~~ ~E ~E 9E ~K f ~~~~`~~~*~~~ E°N T ~~~~A~~~~N T ~ 9f ~E * aa~~~~~~~~~~~~~~~r~ ~ ~^
ESTATE OFsBEHRENS RICHARD FILE N0.:21 09-0732 ACNs 101 DATE: 06-28-2p10
._.
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: 04-26-2010
PRINCIPAL TAX DUE: 2,208.'49
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID t-)
09-22-2009 CD011774 110.42 2,300.00
06-08-2010 REFUND .00 201.93-
TOTAL TAX PAYMENT ~ 2,2081.49
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 REYERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.