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BUREAU OF INDIVIDUAL TAXE{~ n~tik~, -Fj~A^ (~IHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ' v REV-1607 EX AFP (12-11)
Po Box 280601 tfEMENT OF ACCOUNT
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HARRISBURG PA 17128-0601
1tih.`:i DATE 08-06-2012
ESTATE OF FIELDS RICHARD L
DATE OF DEATH 06-11-2011
FILE NUMBER 21 11-0743
GFsrrN b 11t)L t~! COUNTY CUMBERLAND
HAROLD S IRWIVREERS0 GU P
ACN 101
IRWIN LAW OFFICE Amount Remitted
64 S PITT ST
CARLISLE PA 17013-3220
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 _ ~ _ _
REV-1607 EX AFP (12-11) INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:FIELDS RICHARD L FILE NO.: 21 11-0743 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: 04-16-2012
PRINCIPAL TAX DUE: 12,475.06
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-11-2011 CDO14954 578.95 11,000.00
10-28-2011 CDO15136 .00 925.06
07-23-2012 REFUND .00 28.95-
TOTAL TAX PAYMENT 12,475.06
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.