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BUREAU OF INDIVI U ""t C
INHERITANCE TAX DIVISI .~I~ r [„, ~~1
PO BOX 280601
HARRISBURG PA 17128-06{{0~~1 ~y ~'+ p {
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33 S 18 ST
CAMP HILL PA 17011
INHERITANCE TAX
STATEMENT OF ACCOUNT
Pennsylvania ;r ~`~~ h
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-10)
DATE 12-20-2010
ESTATE OF WILLEY BETTY J
DATE OF DEATH 08-07-2010
FILE NUMBER 21 10-0864
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
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 10~ ~ ~ ~ ***~ INHERITANCE TAX STATEMENT~OF ACCOUNT M~**~ ~~~~~~~~~~ ~~~~~~~~~~
ESTATE OF:WILLEY BETTY J FILE NO.: 21 10-0864 ACN: 101 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: 11-01-2010
PRINCIPAL TAX DUE:
864.86
PAYMENTS CTAX CREDITS}:
PAYMENT RECEIPT DISCOUNT C+} AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-31-2010 CD013303 29.23 555.30
08-31-2010 CD013301 9.74 185.10
11-16-2010 CD013655 .00 85.65
TOTAL TAX PAYMENT 865.02
BALANCE OF TAX DUE .16CR
INTEREST AND PEN. .00
TOTAL DUE I .16CR
* 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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