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09-24-12
~- BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 ~fi~~ ~~~~N~RITANCE TAX R~'~Si~ ~~.'~A~ENT OF ACCOUNT 212 SEP 24 PM ! ~ 37 ~J~.~.;,„ . ~ ©RPHA~~I'S~ Cr~.U~RT KATHY A KOKOSERLANO CO., FA 6209 WESTOVER DR MECHANICSBURG PA 17050-2341 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-11) DATE 09-17-2012 ESTATE OF HILTON PAUL J DATE OF DEATH 10-23-2011 FILE NUMBER 21 11-1149 COUNTY CUMBERLAND ACN 11178030 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 PORTION FOR YOUR RECORDS E- --------------------------------------------------------------------------- REV-1607 EX AFP C12-11) **~ INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:HILTON PAUL J FILE NO.: 21 11-1149 ACN: 11178030 DATE: 09-17-2012 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATIDN OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-10-2012 PRINCIPAL TAX DUE: .00 PAYMENTS (TAX CREDITS): AMOUNT PAID P DATE T I NEUMBER (INTEREST/PEN PAID (-)I TOTAL TAX PAYMENT I .00 BALANCE OF TAX DUET .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. .00 v3