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BUREAU OF INDIVIDUAL TAX~S
INHERITANCE TAX DIVISION ._
PO BOX 280601 _ _
HARRISBURG PA 17128-0601
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ELYSE E ROGER~'~~~~~1 °'~,.'~ ~ ,~~~' ~-~,~°
STE 400
635 N 12TH ST
LEMOYNE PA 17043
"=','~',r (~T~1dHERITANCE TAX
" =- :~~/$TEMENT OF ACCOUNT
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Pennsylvania ° .
DEPARTMENT OF REVENUE `
REY-1607 EX AFP (12-10)
DATE 11-07-2011
YORLETS DOROTHY S
ESTATE OF
DATE OF DEATH 02-06-2009
FILE NUMBER 21 09-0224
COUNTY CUMBERLAND
ACN 1(I1
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 ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
~~^"""""~~~Fp C12 10~ ~~~~~ *** INHERITANCE TAX STATEMENT~OF~ACCOUNT~~~~~~~~~~~~• •• •• •••••^
REV-1607 EX A
nnRnTHY S FILE N0.:21 09-0224 ACN: 101
__. _~.. __. _.. ... cnewe'RYTOF THE PRINCIOPAL
ESIAIC urra.....~--- .~....... ----
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN
.,D~rreTrnN OF ALL PAYMENTS, THE CURRENT BALANCE, AND. IF APPLICABLE, A PROJECTED INTEREST
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DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-14-2011
64,637.43
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+~
INTEREST/PEN PAID (-~ AMOUNT PAID
-
DATE NUMBER 10,000.00
11-05-2009 CD011955 .00
.00
2,000.00
04-29-2010 CD012672
3,771.29- 56,408.72
10-11-2011
CD015054
64,637.43
BALANCE OF UNPAID INTEREST/PENALTY AS OF 10-12-2011 TOTAL TAX PAYMENT ,00
BALANCE OF TAX DUE
5.80
INTERES1f AND PEN.
TOTAL DUE 5.80
^ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION DF 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. r