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BUREAU OF INDIVIDUAL TAxES ~`~'h1I~L~~~TANCE TAX
INHERITANCE TAX DIVISION ,~ _ STATEM~Ef~T OF ACCOUNT
PO BOX 280b01
HARRISBURG PA 17128-Ob01
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CLETA E HULL ~~ '
23b INDIAN CREEK DR
MECHANICSBURG PA 17050
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DEPARTNIENT OF REVENUE
REY-1b0T EX AFP C12-09)
DATE 10-12-2010
ESTATE OF GRAMS CHARLES J
DATE OF DEATH 05-15-2009
FILE NUMBER 21 09-0512
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 EX AFP C12-09~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:GRAMS CHARLES J FILE NO.: 21 09-0512 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: 08-23-2010
PRINCIPAL TAX DUE:
1,814.73
PAYMENTS CTAX CREDITS?:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-11-2010 CD012912 .00 1,814.73
09-09-2010 CD013330 23.16- 23.16
TOTAL TAX PAYMENT , 1,814.73
BALANCE OF TAX DUET .00
INTEREST AND PEN. ~ .00
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
FDR INSTRUCTIONS.
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