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BUREAU OF INDIVIDUAL TAXES ~` ~ ~ ~L'`I ~~IER I TANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~ `' "'- ~ REV-1607 E:X AFP (12-10)
Po Box 280601 C ~ . .. 'ST;~-;~MENT OF ACCOUNT
HARRISBURG PA 17128-0601
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JAMES N CLYMERC~?" ~V` --' ' , ~'~~
408 W CHESTNUT ST
LANCASTER PA 17603
DATE 03-28-2011.
ESTATE OF HAGER ROBERT G
DATE OF DEATH 08-28-2005
FILE NUMBER 21 10-0253
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:HAGER ROBERT G FILE NO.: 21 10-0253 ACN: 101 DATE: 03-28-2011
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUIMMARY 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:
2.760 _ a(7
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-)
09-03-2010 CD013316 24.29-
02-25-2011 CD014063 5.47-
TOTAL DUE
.00
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
AMOUNT PAID
2,784.96
5.47
TOTAL TAX PAYMENT 2,760.67
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
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