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r 1~.`~{ DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES .HERITANCE TAX
INHERITANCE TAX DIVISION St J"TATEMENT OF ACCOUNT REV-1607 EX AFP (12-11)
PO BOX 280601
HARRISBURG PA 17128-0601 2
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DATE 08-06-2012
ESTATE OF BURTNER PAUL
DATE OF DEATH 10-17-2011
ORFHANb v=US, FILE NUMBER 21 11-1173
CUMBtC LMD co" PA COUNTY CUMBERLAND
CHRISTOPHER E FISHER ACN 101
STE 200
Amount Remitted
2 LEMOYNE DR
LEMOYNE PA 17043-1226
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 (12-11) INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:BURTNER PAUL FILE NO.: 21 11-1173 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: 06-18-2012
PRINCIPAL TAX DUE: 9,814.17
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
01-09-2012 CDO15439 489.47 91300.00
02-07-2012 CDO15562 .00 82.52
07-23-2012 REFUND .00 57.82-
TOTAL TAX PAYMENT 9,814.17
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE T .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.