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BUREAU OF INDIVIDUAL T ,LJa 1 INHERITANCE TAX DEPARTMENT OF REVENUE
.,r 4 ~ - INHERITANCE TAX DIVISION iI- REV-1607 EX AFP (12-11)
PO BOX 280601 9 TAT E M E N T OF ACCOUNT
HARRISBURG PA 17128-0601
21,_1112 AUG 13 Fri 12' 24 DATE 08-06-2012
ESTATE OF KOLLER BARBARA R
. DATE OF DEATH 12-24-2011
FILE NUMBER 21 12-0229
CUMBERLAND CO-, PA' COUNTY CUMBERLAND
ODA C HOPPLE ACN 12104029
108 SUNSET DR
Amount Remitted
NEW CUMBERLAND PA 17070-3059
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-
REV-1607 EX AFP (12-11) INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:KOLLER BARBARA R FILE NO.:21 12-0229 ACN: 12104029 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: 07-06-2012
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
02-15-2012 CDO15607 .00 1,024.65
04-03-2012 CDO15819 .00 81.74
08-01-2012 REFUND .00 1,106.39-
TOTAL TAX PAYMENT .00
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 ti
FOR INSTRUCTIONS.