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BUREAU OF INDIVIDUAL TAXES ~.~ ~ 1y ERITANCE TAX
INHERITANCE TAX DIVISION ~_S T P- M E N T O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601
3
CUMf Er~L.q~ti'G GO., PA
SUANN KNOUSE
20 E COUNTRYSIDE DR
BOILING SPRINGS PA 17007-9720
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-11)
DATE 05-14-2012
ESTATE OF COULSON GEORGETTA J
DATE OF DEATH 03-19-2012
FILE NUMBER 21 12-0393
COUNTY CUMBERLAND
ACN 12122519
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
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 E~
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REV-1607 EX AFP (12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT **~
ESTATE OF:000LSON GEORGETTA J FILE N0.:21 12-0393 ACN: 12122519 DATE: 05-14-2012
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: 04-23-2012
PRINCIPAL TAX DUE:
228.33
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID t-) AMOUNT PAID
04-02-2012 CD015775 11.42 228.33
TOTAL TAX PAYMENT I 239.75
BALANCE OF TAX DUE 11.42CR
INTEREST AND PEN. .00
TOTAL DUE
« IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF 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.
11.42CR
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