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BUREAU OF INDIVIDUAL TAXES i "~tJ~itHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION } E M E N T OF ACCOUNT REV-1607 EX AFP (12-11)
PO BOX 280601._~~
HARRISBURG PA 17128-0601
H12 AUG 13 PM 12: 24 DATE 08-06-2012
ESTATE OF SHIELDS JOHN H
DATE OF DEATH 07-27-2011
(~'0RPl=~N:%S GUU!7 FILE NUMBER 21 12-0810
NICOLE L DE'lI4"UND M AA COUNTY CUMBERLAND
ACN 11152249
8 HANOVER STREET
Amount Remitted
GLEN ROCK PA 17327
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 C12-11) INHERITANCE TAXSTATEMENT OF ACCOUNT
ESTATE OF:SHIELDS JOHN H FILE NO.: 21 12-0810 ACN: 11152249 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: 07-02-2012
PRINCIPAL TAX DUE: 924.61
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
07-24-2012 CDO16301 .00 864.38
INTEREST IS CHARGED THROUGH 08-21-2012 TOTAL TAX PAYMENT 864.38
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 60.23
INTEREST AND PEN. 6.81
TOTAL DUE
67.04
* 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