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pennsylvania
r(' ( iI ~ivERITANCE TAX DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXESf
INHERITANCE TAX DIVISION REV-1607 EX AFP (12-11) '
PO BOX 280601 1,EMENT OF ACCOUNT
HARRISBURG PA 17128-0601
a O12 AUG 13 Pei, 12, 24 DATE 08-06-2012
ESTATE OF KOLLER BARBARA R
DATE OF DEATH 12-24-2011
L FILE NUMBER 21 12-0229
ORPL`'J~ I'S ' COUNTY CUMBERLAND
ODA C HoMBERL.AND CO., PA ACN 12104028
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
REV-1607 EX AFP C12-11) INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:KOLLER BARBARA R FILE NO.:21 12-0229 ACN: 12104028 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
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
FOR INSTRUCTIONS. 1\