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BUREAU OF INDIVIDUAL TAXES 'C(l) CFl-lk'-=AHERITANCE TAX RE FREVENUE
REV--116607 07 EX X AFP (12-11)
INHERITANCE TAX DIVISION r '
:.(rr°'^.^ ' 1 E M E N T OF ACCOUNT
PO BOX 280601 `
HARRISBURG PA 17128-0601
# 2 AUG 13 F~t 12: 24 DATE 08-06-2012
ESTATE OF GLENN SAMUEL R
DATE OF DEATH 02-21-2011
FILE NUMBER 21 11-0295
ORPhrU'V"S COUNTY CUMBERLAND
ROBERT R BLACK CUMBEPiIAND M, PA ACN 101
36 S HANOVER ST
Amount Remitted
CARLISLE PA 17013-3306
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 E- - - - - - - - - - - - - - -
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--IN--HE---RIT-AN--CE --T-AX--S---TAT-EM---ENT OF C-OU--NT X;-;
REV-1607 EX AFP C12-11) AC
ESTATE OF:GLENN SAMUEL R FILE NO.: 21 11-0295 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: 06-13-2012
PRINCIPAL TAX DUE: 16,108.70
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
05-04-2011 CDO14407 526.32 10,000.00
11-01-2011 CDO15151 .00 6,489.46
07-20-2012 REFUND .00 907.08-
TOTAL TAX PAYMENT 16,108.70
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
* 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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