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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIV ISION
PO BOX 280601
HARRISBURG PA 1]128-0601
DAVID A BARK ~Sp
14 W SOUTH ST '..
CARLISLE ~,.
NOTE: To ensure prop
CUT ALONG THIS LINE
REV-1607 EX AFP (12-
ESTATE OF:WISE
~~~lAC OUNT
pennsylvania~
DEPARTMENT OF REVENUE x`1177
REV-160] EX AFP Q2-11)
2Qi2 JUt t0 P!t f2~ ~ ODATE 07-02-2012
ESTATE OF WISE DOROTHY K
~pp~~~ `~`~~ , ir' DATE OF DEATH 09-27-2011
vnI"~Y'UY~J~ WVflr FILE NUMBER 21 11-1046
~p ~ ~~ COUNTY CUMBERLAND
- '- ACN 101
Amount Remitted
PA 17013-3445
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
L COURTHOUSE SpUARE
CARLISLE PA 17013
credit to your account, submit the upper po rt lon of this form with your tax payment.
~-- RETAIN LOWER PORTION FOR YOUR RECORDS F
^~~ INHERITANCE TAX STATEMENT OF AC C:O UNT ^**
DOROTHY K FILE NO.: 21 11-1046 ACN: 101 DATE: 07-02-2012
.,.. ~~..~rncn~ rwo*auco w xcrvi ai Aius ur iNt SiAIED 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 ASSESSME~JT OR RECORD ADJUSTMENT: 05-29-2012
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITSD:
PAYMENT REC IPT DISCOUNT (+)
DATE
~ NUM
ER
INTEREST/PEN PAID (-) AMOUNT PAID
11-14-2011 CD0 15206 3,255.89 61,862.00
12-12-2011 CD0 15319 47.66 1.115.91
06-14-2012 REF UND .00 2'10.45-
TOTAL TAX PAYMENT 66,071.01
~'~ BALANCE OF TAX DUE .00
I
~'~, INTEREST AND PEN. .00
TOTAL DUE
.00
* IF PAID AFTER THISDAT E, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL .INTEREST.
IF TDTAL DUE IS REFLECT D AS A "CREDIT" (CR). VOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. ~