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BUREAU OF INDIVIDUAL TAXES "~~~`- ~~ I~- 3~
INHERITANCE TAX DIVISION (~~} r` r i+~~ I TA N C E TAX
Po Box zeo6ol ~~~ _ '~ STA`~~ NT OF ACCOUNT
HARRISBURG PA 17128-0601
CLERK of
((++~~oR~~~s couRT
SHARON L SEIBER'T'~'~~'~ ~~'f'p`'4~'` r~ • pA
5060 CAMBRIDGE BLVD
MECHANICSBURG PA 17050
DATE
ESTATE OF
DATE OF DEA
FILE NUMBER
COUNTY
ACN
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
08-01-2011
SEIBERT EMILY E
TH 03-19-2011
21 11-0668
CUMBERLAND
11144406
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 ALON_6 THIS LINE _~- RETAIN LOWER PORTION FOR YOUR RECORDS
REV 1607 EX AFP C12 10) ~ ~~~°*° INHERITANCE TAX 3TATEMENT~OF ACCOUNT ~~*~ ~~~~~"~""""""•
ESTATE OF:SEIBERT EMILY E FILE NO.: 21 11-0668 ACN: 11144406 DATE: 08-01-2011
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: 07-25-2011
PRINCIPAL TAX DUE:
3.49
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
07-05-2011 CD014668 .00
07-25-2011 SBADJUST 3.49
.00 3.49
TOTAL TAX PAYMENT 6.98
BALANCE OF TAX DUE 3.49CR
INTEREST AND PEN. .00
TOTAL DUE
3.49CR
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.