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Pennsylvania i
F[f ~Y `r t r n^ r. DEPARTMENT OF REVENUE
ulIkFRITANCE TAX
BUREAU OF INDIVIDUAL TAXES PC`'
' l1w,
INHERITANCE TAX DIVISION (`~Fr~?r:-ri_'l !IENT OF ACCOUNT REV-1607 EX AFP (12-11)
PO BOX 280601 !2'~-{'J~
HARRISBURG PA 17128-0601
?P 12 AUG (3 P 12: 24 DATE 08-06-2012
ESTATE OF KOLLER BARBARA R
DATE OF DEATH 12-24-2011
QHP{fl~''v.t~+T FILE NUMBER 21 12-0229
ODA C HOP~~++~~R BEIRLAND 00,, PA COUNTY CUMBERLAND
ACN 12104030
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: 12104030 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 AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.