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BUREAU OF INDIVIDUAL TAXES _ ,,;INHERITANCE TAX
INHERITANCE TAX DIVISION 'S,T~ATEMENT OF ACCOUNT
PO BOX 280601 ~ _. _ V; _ .
HARRISBURG PA 17128-0601
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JOHN E SLIK'C~~-~~~" '. _? ~~,
2109 MARKET ST
CAMP HILL PA 17011
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Pennsylvania ~ ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09) """ r
DATE 11-15-2010
ESTATE OF KELLER INA M
DATE OF DEATH 12-09-2009
FILE NUMBER 21 09-1175
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 ~
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REV-1607 EX AFP (12-09~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:KELLER INA M FILE NO.: 21 09-1175 ACN: 101 DATE: 11-15-2010
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: 11-08-2010
PRINCIPAL TAX DUE:
3b,707.59
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-16-2010 CD012358 1,835.38 38,000.00
10-04-2010 CD013447 .00 489.68
TOTAL TAX PAYMENT I 40,325.06
BALANCE OF TAX DUES 3,617.47CR
INTEREST AND PEN. ~ .00
TOTAL DUE
3,617.47CR
* 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.
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