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BUREAU OF INDIVI~IIAL ~fiAXES, I ~~. i~' INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION.
PD Box 2so6o1 - _ ._ - : ; '.;.;~ STATEMENT OF ACCOUNT REV-1607 EX AFP c12-log
HARRISBURG PA 17128-0601
'~~ ~ _,_:
JAMES G~.."FLOWER ,J~ ...' , E-';r.
10 W HIGH ST
CARLISLE PA 17013
DATE 02-22-2011
ESTATE OF ADAMS ROBERT A
DATE OF DEATH 02-22-2010
FILE NUMBER 21 10-0179
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 (12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT *~*
ESTATE OF:ADAMS ROBERT A FILE NO.: 21 10-0179 ACN: 101 DATE: 02-22-2011
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: 02-07-2011
PRINCIPAL TAX DUE: ~~ ,,.~ __
PAYMENTS (TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-~
05-06-2010 CD012724 2,684.21
12-06-2010 CD013746 .35-
02-07-2011 REFUND .00
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.
AMOUNT PAID
51,000.00
297.00
68.12-
TOTAL TAX PAYMENT 53,912.74
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
.00