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BUREAU OF INDIVIDUAL TAX~Ci~~t~r"`L ~ ~'~ ~~1
INHERITANCE TAX DIVISION ~ ~ ~ H E R I TAN C E TAX
PO BOX 280601 _ `
W-RRISBURG PA 17128-0601 ~="-''-~~' ~ ~~~~TE M E N T O F A C C O U N T
( (? -', p
` ° ~ Er ~' `" ~ t iii c'.' ~ ~-i J
C~ER~; OF
ROGER B IRWIN~~{~ ~~~'~'1 pf~'}RT
., : PA
60 WEST POMFRET STREET
CARLISLE PA 17013
pennsjylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-10)
DATE 10-03-2011
ESTATE OF MYERS
DATE OF DEATH 08-29_2010 LAURA E
FILE NUMBER 21 10-1025
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
NOTE: To ensure proper credit to CARL ISL E
your account, submit the u P'4 17013
CUT ALONG THIS LINE Pper portion of this form with
..^ ..............^ ..........~.....R :r ....^..^...^.. Your tax
REV-1807 EX AF~P ~12-10) AIN LOWER PORTION FOR payment'
*** INHERITeNre r':L^~~a~•~....YOUR RECORDS ..~
ESTATE OF:MYERS
THIS STATEMENT PROVIDES CURRENT STATUSAOF THE STATED ACN•IN THE NAME
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, A D'lOF 1025 ACN: 101 _
D ESTATE. BELOW IS A SUMMAR,YTOF• HE PR31NC PAL
APPLICABLE, q PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT:
08'29-2011
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN
11-24-2010
CD013705 PAID (_)
06-10-2011 CD014559 368.42
09-13-2011
CD014963 .O1-
11.13-
AMOUNT PAID
7,000.00
11,318.56
11.13
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
18,686.97
18,686.97
.00
.00
T07AL DUE I
IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF
IF TOTAL DUE IS REFLECTED AS A " 00
FOR INSTRUCTIONS.
CREDIT" (CR), YOU MAY BE DUE ADREFUNDAL INTEREST.
SEE REVERSE SIDE OF THIS FORM