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BUREAU OF INDIVIDUAL TAXES RF~~i~J~!'CE TA~( DEPARTMENT OP REVENUE
INHERITANCE TAX DIVISION lr .r;f REV-1607 EX AFP C12-11)
Po Box 2BO6o1 t~r_t~5'~~~~+~~.~- ~OF ACCOUNT
HARRISBURG PA 17128-0601
BRADLEY L GRIFFIE
200 N HANOVER ST
CARLISLE
212 JUL 13 PM 12~ 4~ DATE 07-09-2012
ESTATE OF PETER ROLF
-~;, DATE OF DEATH 06-14-2009
~y Qu~'~~~ ~uUAr FILE NUMBER 21 09-0575
VI~M~~~~ C~., ~ COUNTY CUMBERLAND
ACN 101
PA 17013-2423 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:PETER ROLF FILE N0.:21 09-0575 ACN: 101 DATE: 07-09-2012
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: 06-04-2012
PRINCIPAL TAX DUE:
27,7sn_~R
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
09-09-2009 CD011722 1,263.16 24,000.00
12-06-2011 REFUND .00 2,707.31-
12-09-2011 CD015316 142.49- 5,367.32
06-21-2012 CDOlb146 9.85- 9.85
TOTAL TAX PAYMENT 27,780.68
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FDR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRM
FDR INSTRUCTIONS.
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