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BUREAU OF INDIVIDUAL TAX~~, i,~~ '_ V.~ j',.1 ~,iNHERITANCE TAX
INHERITANCE TAX DIVISION ~~ ~S'~'A T E M E N T O F A C C O U N T
PO BOX 280601 .'., ~ .
HARRISBURG PA 17128-0601 ~~""-
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T E R R Y S T E~~'I~IE~i~ F~i~ i C'~" pA
19 W MARBLE ST
MECHANICSBURG PA 17055-6423
Pennsylvania', i'
DEPARTMENT OF REVENUE
REY-1607 EX AFP (12-11)
DATE 05-14-2012
ESTATE OF STEWART THOMAS B
DATE OF DEATH 06-08-2011
FILE NUMBER 21 11-0678
COUNTY CUMBERLAND
ACN 12119733
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 _ -_--_'-_ RE_TAIN LOWER P_ORTI_ON FOR YOUR RECORDS _ ~-- _ _ _ _ _
REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:STEWART THOMAS B FILE N0.:21 11-0678 ACN: 12119733 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: 04-16-2012
PRINCIPAL TAX DUE:
183.79
PAYMENTS CTAX CREDITS:
P DATE T , NEUMB R (INTEREST PEN PAID (-~I AMOUNT PAID
03-30-2012 CD015780 I .33-
185.00
TOTAL TAX PAYMENT I 184.67
BALANCE OF TAX DUET .88CR
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.
88CR