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BUREAU OF INDIVIDUAL TAXESr rn '~ i it -~~~ ~
INHERITANCE TAX DIVISION i'1_Vti.~E'J~-~ ~'~~"~ ERITANCE TAX
Po BOX 280601 ^iLLk.,.,C,{~~ 'LS~7~A~~EMENT OF ACCOUNT
HARRISBURG PA 17128-0601 1-~~-'~"'' "'' ~ "'
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217 E GARFIELD ST
SHIPPENSBURG PA 17257-2001
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-11)
DATE 06-18-2012
ESTATE OF KELLER INA M
DATE OF DEATH 12-09-2009
FILE NUMBER 21 09-1175
COUNTY CUMBERLAND
ACN 10103405
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 PORTION FOR YOUR RECORDS _ ~
REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:KELLER INA M FILE NO.: 21 09-1175 ACN: 10103405 DATE: 06-18-2012
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: 11-02-2010
PRINCIPAL TAX DUE: 1,577.82
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-16-2010 CD012354 78.89 1,498.93
TOTAL TAX PAYMENT 1,577.82
BALANCE OF TAX DUE .00
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.
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