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INHERITANCE TAX DIVISION y~ "' +'~ ~` ~_~~' TEMENT OF ACCOUNT
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DEPARTMENT OF REVENUE
REV-1b07 EX AFP (12-10)
DATE 12-20-2010
ESTATE OF THOMAS ANNA W
DATE OF DEATH 09-30-2010
FILE NUMBER 21 10-1093
COUNTY CUMBERLAND
ACN 10159668
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 1607 SEX AFP C12 10~ ~~~~~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ~***~~~~ ~~~~ ~~~~~~~~~~r
ESTATE OF:THOMAS ANNA W FILE NO.: 21 10-1093 ACN: 10159668 DATE: 12-20-2010
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: 11-29-2010
PRINCIPAL TAX DUE:
59.42
PAYMENTS CTAX CREDITS:
P DATE T I RNUMBER IINTERE T/PEN PAID C-)~ AMOUNT PAID
11-03-2010 CD013590 ~ 2.97
59.42
TOTAL TAX PAYMENT ~ 62.39
BALANCE OF TAX DUE 2.97CR
INTEREST AND PEN. .00
TOTAL DUE I 2.97CR
* 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.