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BUREAU OF INDIVIDUAL TAXES [ r _
INHERITANCE TAX DIVISION ~C_~ ' `' ~ ~l~~t I TANCE TAX pe~n~Ylvania
PO BOX 280601 .
HARRISBURG PA 17128-0601 - ~' ! STAT~~NT OF
li.~u..,:. d
ACCOUNT REV 16oMENT OF REVENUE
EX AFP Q 2-10)
CLERK OF
LAWRENCE M MILLER ~Rt HA~~S ~.0lJRT
197 GREEN HILL RD Cl)MRF~?I_tao~r~ !~~' PA.
NEWVILLE
PA 17241
DATE 09-12-
ESTATE OF X081
DATE OF MILLER
DEATH 07-27-20~p VERA B
FILE NUMBER 21 10-077,4
COUNTY CUMBERLq~D
ACN 101
Amount Remittjed
MAKE CHECK PAYABLE AND
R~MIT PAYMENT T0:
REGISTER OF WILLS
NOTE: 1 COURTHOUSE SQUARE
To ensure proper credit to CARL ISL E
CUT ALONG your account, submit the u PA 17013
^~~~~~~~ THIS LINE Peer portion of
LOWER p this form with
REV-160~7~ EX~ AFp....^.......M::^...R ::::::........^ ^
C{2-10) ORTION FOR YOUR your tax payment
a** INHERITANCE 1~AJC~ S~A~EMEN~I~~OF~ ACCOUNT...*~ I~,.^ .................
ESTATE OF:MILLER
THIS STATEMENT PROVIDES CURRENT S1TA U S OF THE S ATED AC
TAX DUE, AppLICATION OF ALL PAYMENTS, THE CURRENT BALANDCE, A 1 10-p 774
N IN THE NAMED ESTATE.CN• 101 DATE: 09-
ND, IF APPLICABLE,BELOW IS A SUM ARY OF THE PR? NC PAL
A PROJECTED I TEREST FIGURE.
DATE OF LAST
ASSESSMENT OR RECORD ADJUSTMENT: 07-05-2011
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS);
3,930.97
PAYMENT RECEIPT
DATE NUMBER DISCOUNT (+)
10-26_ INTEREST/PEN PAID C-) AMOUNT PAID
2010 CD013556
08-25-2011
REFUND 196.55
.00 4,100.00
365.58-
TOTAL TAX PAYMENT
3,930.97
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
.00
IF PAID AFTER THIS TOTAL DUE
IF TOTAL DUE DATE, SEE REVERSE SIDE FOR CALCULATION OF
IS REFLECTED AS A "CREDIT" ADDITIONAL INTEREST. .p0
FOR INSTRUCTIONS. YCR)
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THISI
,FORM
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