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ennsylvania •
DEPARTMENT OF REVENUE
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~'~'~ ' ~"' NHERITANCE TAX REV-1607 EX AFP clz-log
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BUREAU OF INDIVIDUAL TAX ~.,,;'~.,`,..G..r., ~ ,+'
INHERITANCE TAX DIVISION r~.~#€~,~;L~.. ~ ~~- `~~~~-TEMENT OF ACCOUN
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PO BOX 280601
HARRISBURG PA 17128-0601 DATE 0 6 - 0 6 - 2 011
CI.ER~ 4~
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GREGORY S CH~-U-~'~'D ~i~.,t~,`:
6TH FLR
17 S 2ND ST
HBG PA 17101
PINTI ROSA
ESTATE OF
DATE OF DEATH 02-12-2010
FILE NUMBER 21 10-0178
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
our account, submit the upper Portion of this form with your tax payment.
NOTE: To ensure proper credit to Y
RETAIN LOWER PORTION FOR YOUR R ACCOUNT
THIS LINE ~ :.......................... STATEMENT~OF.....................................
CUT ALONG *** INHERITANCE TAX
REV X1607 SEX AFP C12 10) ~~~
DATE: 06-Ob-2011
21 10-0178 ACN: 101
ROSA FILE NO.:
ESTATE OF:PINTI
OF THE STATED ACN IN THE NAMED ESTATLE,BALPROJECTED INTEREST FIGUREINCIP
THIS STATEMENT PROVIDES CURRENT STATUS
.,.., .,~ ei i PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICA
TAX DUE, APrul~H~ ~~~~ ~~ ~--
OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-16-2011
DATE 45,962.00
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
RECEIPT DISCOUNT C+)
PAYMENT NUMBER INTEREST/PEN PAID C-~
DATE
1,052.63
05-12-2010 CD012739 1,245.47
05-12-2010 CD012740 ,00
05-18-2011 REFUND
AMOUNT PAID
20,000.00
30,000.00
6,336.10-
45,962.00
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
.00
.00
TOTAL DUE ~ .00
PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATgENDUE ADREFUNDALSEETREVERSE SIDE OF THIS FORM
* IF
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MA
FOR INSTRUCTIONS.