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BUREAU OF INDIVIDUAL TAXES ,;_ - ~°N~C~RITANCE TAX
INHERITANCE TAX DIVISION ''-~-~~`~~'s~~~ ~-SY~iTEi~ENT OF ACCOUNT
PD BOX 280601
HARRISBURG PA 17128-0601
~' ~~~~ ~~
ROBERT R BLACK
36 S HANOVER ST
CARLISLE PA 17013
Pennsylvania i
DEPARTMENT OF REVENUE
REV-1607 E:X AFP (12-09)
DATE 08-16-2010
ESTATE OF ROTH MADELINE W
DATE OF DEATH 08-03-2009
FILE NUMBER 21 09-0783
COUNTY CUMBERLAND
ACN 101
Amount 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.
CUT ALONG THIS LINE _ _~ RETAIN LOWER PORTION FOR YOUR RECORDS -+~ _ _ _
REV 1607 rEX AFP~ C12 09~ ~ ~~~ ***r INHERITANCE TAX STATEMENT~OF rACCOUNT ~~*** ~~ ~~~~~~~~~~~~ ~ ~~~
ESTATE OF:ROTH
MADELINE W FILE NO.: 21 09-0783 ACN: 101 DATE: 08-16-2010
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: 07-06-2010 __
PRINCIPAL TAX DUE:
2,384.49
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID t-)
06-17-2010 CD01293b .00 2,384.49
07-20-2010 CD013073 11.80- 11.80
TOTAL TAX PAYMENT 2,384.49
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.
Cl/`~~~