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BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DEPARTMfENTOFREVENUE
INHERITANCE TAX DIVISION S TA T E M E N T O F A C C O U N T REY-1607 EX AFP (12-10)
PO BOX 280601
HARRISBURG PA 17128-0601
._. DATE 04-25-2011
ESTATE OF ERB HAZEL
_ DATE OF DEATH 10-06-2010
- FILE NUMBER 21 10-1128
COUNTY CUMBERLAND
JACQUELIN A KELL;.Y
,, ACN 101
STE 12
845 SIR THOMAS COURT Amount Remitted ~
HBG PA 1 7109 -
MAKE CHECK PAYABLE AND REM IT 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 wit h your tax payment.
CUT ALONG
THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS
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REV X1607 EX AFP C12 10)~~~~~~ *~* INHERITANCE TAX STATEMENT~OF ACCOUNT ***~ ~~~~~~~~~~~~~~~~~~~~
ESTATE OF:ERB HAZEL FILE N0.:21 10-1128 ACN: 101 DATE: 04-25-2011
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: 02-22-2011
PRINCIPAL TAX DUE: 12,519.90
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-~
12-14-2010 CD013782 626.00 11,893.92
03-30-2011 CD014221 .00 322.97
TOTAL TAX PAYMENT 12,842.89
BALANCE OF TAX DUE 322.99CR
INTEREST AND PEN. .00
TOTAL DUE
322.99CR
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.