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BUREAU OF INDIVIDUAL TAX"~JJN e i i'; - NHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION f7"' REV-1607 EX AFP (12-1ll
PO BOX 280601 ,fT `TEMENT OF ACCOUNT
HARRISBURG PA 17128-0601'- s'-'.i
DATE 08-
P? AUG 13 Pr; 2%3 ESTATE OF LEE06-2012 GUST R
DATE OF DEATH 08-05-2010
FILE NUMBER 21 10-0872
ORPHFlj`d` V ~jr COUNTY CUMBERLAND
MARK A MATEYOUMBERLAVD CO., PA ACN 101
55 W CHURCH AVE
Amount Remitted
CARLISLE PA 17013-3202
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 4-
REV-1607 EX AFP C12-11) INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:LEE GUST R FILE NO.: 21 10-0872 ACN: 101 DATE: 08-06-2012
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: 07-16-2012
PRINCIPAL TAX DUE: 15,475.34
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
SUMMARY OF ALL 010 PAYMENTS
07-24-2012 77.35 .00
07-24-2012 317.15- 15,717.04
TOTAL TAX PAYMENT 15,477.24
BALANCE OF TAX DUE 1.90CR
INTEREST AND PEN. .00
TOTAL DUE
1.90CR
* 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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