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~ ;STATEMENT OF ACCUUNT REV-1607 EX AFP (12-10) - '
HARRISBURG PA 17128-0601 _
.~ i'~~~ td ,7 ~~,, 1' `~ DATE 03-21-2011
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SUSAN J H R~'~I-.~~f--"~~,',LJ i~;,..., rl~,
1 IRVINE ROW
CARLISLE PA 17013
ESTATE OF SMITH JACKSON M
DATE OF DEATH 08-08-2010
FILE NUMBER 21 10-0806
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-1607 EX AFP C12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT *~*
ESTATE OF:SMITH JACKSON M FILE NO.: 21 10-0806 ACN: 101 DATE: 03-21-2011
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: 01-18-2011
PRINCIPAL TAX DUE:
5,556.78
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT
DATE NUMBER
11-01-2010 CD013574
11-22-2010 CD013685
03-03-2011 REFUND
274.76 5,220..50
.00 335.27
.00 273.75-
TOTAL TAX PAYMENT 5,556.78
BALANCE OF TAX DUE .00
INTEREST AND PEN. .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.
DISCOUNT (+) AMOUNT PAID
INTEREST/PEN PAID (-)
.00
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