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BUREAU OF INDIVIDUAL TAXES r '~F '~`~) { }`'~ICCIMHERITANCE TAX DEPARTMENT OF REVENUE C s
INHERITANCE TAX DIVISION REV-1607 EX AFP C12-10)
Po eox 28oce1 [ -.f + `+ `'~''S''~~-,.~MENT OF ACCOUNT
HARRISBURG PA 1 7128-0601 i t~f.~:~~1-! ..
~~~~ ~ ~~~ _6 F~°i ~~: ~ 'r~ DATE 05-23-2011
ESTATE OF SLAYBAUGH FAYE L
CLERK OF DATE OF DEATH 12-04-2009
aRPHAN'S COURT FILE NUMBER 21 10-0045
JOHN A WOLFE Ct)Mg~'~tAND CO.. PA COUNTY CUMBERLAND
47 W HIGH ST ACN 101
Amount Remitted
GETTYSBURG PA 17325 -
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 ~
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REV-1607 EX AFP C12-10~ ~** INHERITANCE TAX STATEMENT OF ACCOUNT ~~~
ESTATE OF:SLAYBAUGH FAYE L FILE NO.: 21 10-0045 ACN: 101 DATE: 05-23-2011
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: 04-04-2011
PRINCIPAL TAX DUE: 18,080.42
PAYMENTS CTAX CREDITSJ:
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID (-) AMOUNT PAID
02-24-2010 CD012383 789.47 15,000.00
01-28-2011 CD013962 2.02- 2,292.97
04-26-2011 CD014367 32.98- 32.98
TOTAL TAX PAYMENT 18,080.42
BALANCE OF TAX DUE .00
INTEREST AND PEN. I .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION DF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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