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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
~` _'~~, ' . i1~Ft~~1~TANCE TAX
STATEMEsNT OF ACCOUNT
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PATRICIA DOMINIQ(I~~.:p~~~r,~ .'`,I,,j"` f-'n `~i~
3506 VILLAGE GREEN DR
ROSWELL GA 30075-7649
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-10)
DATE 1.2-05-2011
ESTATE OF MCSHERRY SR WILLIAM R
DATE OF DEATH 09-23-2011
FILE NUMBER 21 11-1185
COUNTY C:UMBERLAND
ACN ].1166432
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 farm with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ _ _ _ _
REV X1607 SEX AFP (12-1~0) ~~~~~ *** INHERITANCE TAX STATEMENT~OF~ACCOUNT~~***~~~~ ~~ ~~ ~~~~~~~~
ESTATE OF:MCSHERRY SR WILLIAM R FILE NO.: 21 11-1185 ACN: 11166432 DATE: 12-05-2011
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPILICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-21-2011
PRINCIPAL TAX DUE:
89.94
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUIMBER INTEREST/PEN PAID (-)
10-31-2011 CD015163 4.50 89.94
TOTAL TAX PAYMENT I 94.44
BALANCE OF TAX DUE 4.50CR
INTEREST AND PEN. .00
TOTAL DUE
4.50CR
~ 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.