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Home My WebLink About07-15-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: REV-1162 EX(11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N Q . C D 014715 PECHT WAYNE M ESQUIRE 1205 MANOR DRIVE SUITE 200 MECHANICSBURG, PA 17055-4894 ACN ASSESSMENT CONTROL NUMBER -------- fold ESTATE INFORMATION: SSN: 171-28-5364 FILE NUMBER: 2110-0404 DECEDENT NAME: CROOK JEAN D DATE OF PAYMENT: 07/ 15/ 201 1 POSTMARK DATE: 07/ 14/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 04/05/2010 AMOUNT 101 ~ $5.51 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK# 5327 INITIALS: HMW RECEIVED BY: $5.51 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES ~"t"~i ~~~ y~~ ~~ NHERITANCE TAX INHERITANCE TAX DIVISION ~-1~(` ,~~ ; ~.~"`, ',~ ~'_I~,.~~TEMENT OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 J~a; c~~~~ oou~T ~~ T'~~F~'_~'~~~~ '~~ , PA WAYNE M PECH. 1205 MANOR DR MECHANISBURG PA 17055 pennsylvania DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 0'7-05-2011 ESTATE OF CROOK JEAN DATE OF DEATH 04-05-2010 FILE NUMBER 21 10-0404 COUNTY CUMBERLAND ACN 101 .Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: D REGISTER OF' WILLS 1 COURTHOUSE SQUARE CARLISLE F'A 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 -~ _ ~~~~~~607 SEX AFP C12 10~ ~~ ~ ~** INHERITANCE TAX STATEMENT~OF ACCOUNT ~~**~ ~~~~~~~ ~~~~~^ •••• ^ REV 1 ESTATE OF:CROOK JEAN D FILE NO.: 21 10-0404 ACN: 101 DATE: 07-05-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF CURRENTTBALANCEINANDE IFMAPPLICABLE,BALPROJECTED INTEREST FIGUREINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-11-2011 ,_ 3,970.72 PRINCIPAL TAX DUE: _ PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-~ 105.26 2',000.00 Ob-30-2010 CD013011 1,,883.51 06-08-2011 CD014555 18.05- 3,970.72 BALANCE OF UNPAID INTEREST/PENALTY AS OF 06-09-2011 TOTAL T'AX PAYMENT BALANCE OF TAX DUE .00 5.51 INTEREST AND PEN. TOTAL DUE 5.51 ~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL :[NTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~ N ~ (gi~pp ~ ~ _ + C / n y , Q ~ N ~ ~ 0 ~ ~ M~ 1 J~~ ! ~ ~ i ~ ' ~ ~ o A ~ ~~R~ ~~ a n ORPHP!`~ S ,~QURT PA l1MR'=P' ~~~lD "~~. ~' ;.._. ~ . ~:~ ;.... :E_ 4~i {£_ ~ L1 Llt ~ ~•ti F-~ N ~ ~ ~ ~_ 1~ ~ ~ ~ ~,, / N ~~s ~ ~ ~ ~ CD ~ ^~ ~ / ll ~ ~_ • 0~+ ~ ~• r e'r ~ ^^ AA c Iv! C ~ ti ~ ~ M • ,~~ ~~~ "~ V ~M . # 0000013'!14 w o . ~ © e o ~ ~ •s.. ~ .r- ~ ~.t *' " ' "