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BUREAU OF INDIVIDUAL TAXES 1 tl ~.t~HERITANCE TAX
INHERITANCE TAX DIVISION ~ +; t k , %„r
~~~=~L`~ C' r ~~~'314t~MENT OF ACCCIUNT
PO BOX 280601
HARRISBURG PA 17128-0601
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Cl~~~~~~''i ~',f`,~~ ~''~ . PA.
THOMAS E FLOWER '`~
2109 MARKET ST
CAMP HILL PA 17011
Pennsylvania ; i
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09)
DATE 12-06-2010
ESTATE OF BARSOHN HELEN
DATE OF DEATH 01-08-2010
FILE NUMBER 21 10-0026
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 X1607 SEX AFP C12 09~ ~~~ *** INHERITANCE TAX 3TATEMENT~OF~A000UNT~~***~~~~~~ ~ ~ ~~~~~ ~~~
ESTATE OF:BARSOHN HELEN FILE NO.: 21 10-0026 ACN: 101 DATE: 12-06-2010
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: 10-08-2010
PRINCIPAL TAX DUE:
18,111.24
PAYMENTS (TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-03-2010 CD012416 894.19 16,989.56
10-25-2010 CD013537 .43- 227.97
TOTAL TAX PAYMENT ~ 18,111.29
BALANCE OF TAX DUE .05CR
INTEREST AND PEN. .00
TOTAL DUE I .05CRI
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATIDN 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.