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BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
~~NHE`~tITANCE TAX
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INHERITANCE TAX DIVISION $
TAT E M~E N T CIF ACCOUNT REV-160i' EX AFP (12-09)
PO BOX 280601 .
HARRISBURG PA 17128-0601
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DATE 10-12-2010
ESTATE OF SMITH WILL IAM F
!"` ^'~` ~'~^ DATE OF DEATH 11-04-2007
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~'`~~''- , '= ~ ,~ FILE NUMBER 21 08-0007
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~~~ ~ ~~; -~~~, COUNTY CUMBERLAND
SUSAN J SMITH
ACN 101
319 M 24TH ST
CAMP HILL
PA 17011
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 -~
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REV-1607 EX AFP C12-09~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SMITH WILLIAM F FILE N0.:21 08-0007 ACN: 101 DATE: 10-12-2010
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: 08-06-2010
PRINCIPAL TAX DUE:
3,332.88
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-07-2009 CD012077 .00 2,944.44
06-16-2010 CD013413 .00 100.58
INTEREST IS CHARGED THROUGH 10-27-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.*
TOTAL TAX PAYMENT ~ 3,045.03
BALANCE OF TAX DUET 287.86
INTEREST AND PEN. ~ 131.83
TOTAL DUE
* 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.
419.69
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