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BUREAU OF INDIVIDUAL rnxES INH;EITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1607 EX AFP (12-11)
PD Box zeo6B1 STATEN4~TiT OF ACCOUNT
HARRISBURG PA 17128-0601
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CI )~ ~~ `,P f ?~
IVA L A AMS
104 CLARKTON ~T
LEMOYNE ', PA 17043-2011
i
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
D1-09-2012
ADAMS JOSEPH R
05-08-2011
.?1 11-1044
(:UMBERLAND
11163847
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 - I _ _--_-_ RE_TAIN LOWER P_ORT_ION FOR YOUR RECORDS _ ~
REV-1607 EX AFP C12-~1) *** INHERITANCE TAX STATEMENT OF ACCOUNT *~* - - - - - - -' "'
ESTATE OF:ADAMS
JOSEPH R FILE NO.: 21 11-1044 ACN: 11163847 DATE: 01-09-2012
~~+~ ainitntn~ PROVIDES CU RENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF AL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE-
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-07-2011
PRINCIPAL TAX DUE:- 'I
2,480.60
PAYMENTS (TAX CREDITS
PAYMENT RECEIPT DISCOUNT (+)
DATE NUM ER INTEREST/PEN PAID C-) AMOUNT PAID
10-03-2011 CDO 5034 .00
11-23-2011 CDO 5253 2,480.60
.00 2,480.60
j TOTAL TAX PAYMENT 4,961.20
BALANCE OF TAX DUE 2,480.60CR
i
~, INTEREST AND PEN. .00
~ TOTAL DUE
~ _ I 2,480.60CR
~ IF PAID AFTER THIS DATE,I~ISEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTE~ AS A "CREDIT" CCR), YDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.