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BUREAU OF INDIVIDUAL TaxES -~ ~ 'IN~IERITANCE TAX
INHERITANCE TAX DIVISION - t$,Tq TE M E N T O F A C C O U N T
PO BOX 280601 - ~ ~~' '' .
HARRISBURG PA 17128-0601 ~.?~.
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CHERYL A WILDA~9' 1~~1 ~-' .- ~ ' '
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804 4TH ST
NEW CUMBERLAND PA 17070
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Pennsylvania ~~ ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09) ~ ~~~~~~~
DATE 11-15-2010
ESTATE OF SANTO JOSEPH A
DATE OF DEATH 12-06-2004
FILE NUMBER 21 05-0179
COUNTY CUMBERLAND
ACN 05106596
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:SANTO JOSEPH A FILE N0.:21 05-0179 ACN: 05106596 DATE: 11-15-2010
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY DF 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: 07-16-2010
PRINCIPAL TAX DUE:
225.25
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-04-2010 CD013541 34.15- 259.40
BALANCE OF UNPAID INTEREST/PENALTY AS OF 06-05-2010 TOTAL TAX PAYMENT ~ 225.25
BALANCE OF TAX DUET .00
INTEREST AND PEN. ~ 34.15
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
34.15