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BUREAU OF INDIVIDUAL TAXES ' 'L'' f~' U.
'~~r~"'?~~ ,~'F~~ITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION [(}~(w''; REV-1607 EX AFP Q 2-11)
Po Box zsosBl ~i.~>~.:,~~~`~-~'~~~NT OF ACCOUNT
HARRISBURG PA 17128-0601
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MARY S M I L L SVUMBERI.,Af~1p CO., PA
LOT 529
90 SALEM CHURCH RD
MECHANICSBURG PA 17050
DATE 07-30-2012
ESTATE OF SAMPSON MARY D
DATE OF DEATH 03-02-2011
FILE NUMBER 21 11-0525
COUNTY CUMBERLAND
ACN 11126210
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 _ _-_!_ RETAIN LOWER P_ORTI_ON FOR YOUR RECORDS _ F- _ _ _ _ _
REV-1607 EX AFP C12-11~ *~~ INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SAMPSON MARY D FILE N0.:21 11-0525 ACN: 11126210 DATE: 07-30-2012
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: 07-10-2012
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID C-) AMOUNT PAID
04-28-2011 CD014413 .00 44.33
06-28-2011 CD014639 .00 2,22
07-16-2012 REFUND .00 46.55-
TOTAL TAX PAYMENT .00
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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