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BUREAU OF INDIVIDUAL: TAXES ! -~ INHERITANCE TAX DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
INHERITANCE TAX DIVISION' ~ STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
-- 03-07-2011
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JEFFREY 0 SEES
1109 APPLE DR APT 3
MECHANICSBURG PA 17055-3918
DATE
ESTATE OF BRUDOWSKY MARIAN L
DATE OF DEATH 07-24-2009
FILE NUMBER 21 09-0736
COUNTY CUMBERLAND
ACN 09158295
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 10~~ ~~~~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ***~~~~~~~~~~~~ ~~~~~
ESTATE OF:BRUDOWSKY MARIAN L FILE NO.: 21 09-0736 ACN: 09158295 DATE: 03-07-2011
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: 12-01-2010
PRINCIPAL TAX DUE:
.00
PAYMENTS (TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-08-2011 CD013998 .00 25.89
TOTAL TAX PAYMENT 25.89
BALANCE OF TAX DUE 25.89CR
INTEREST AND PEN. .00
TOTAL DUE
25.89CR
* 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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