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Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES OC.(~('~~;("!i-(1 ~1~~(~1~ERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION f~~l,~~.ft v~..t-+ REV-1607 EX AFP (12-11)
Po Box zso6ol {~~~,~`~y"~ , $~p~T~MENT OF ACCOUNT
HARRISBURG PA 17128-0601 ~~.. ~~ L`~ •~-~
~~iZ OCT { 6 PM {~ { 6 DATE 10-09-2012
ESTATE OF MILLER FRANCE'S F
DATE OF DEATH 09-21-2011
4L.'.•. _ FILE NUMBER 21 12-0483
MICHAEL CHEREWK ~~ J ~U~R COUNTY CUMBERLAND
624 N FRONT ST ~~'rV~~~}D Ci0" PA ACN 101
WORMLEYSBURG PA 17043-1022 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENTIiTO:
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 payfinent.
CUT ALONG THIS LINE _ _~_ _ RETAIN LOWER PORTION FOR YOUR RECORDS _ E-- _
REV-1607 EX AFP C12-11~ ~** INHERITANCE TAX STATEMENT OF ACCOUNT *** ""'""""
ESTATE OF:MILLER FRANCES F FILE NO.: 21 12-0483 ACN: 101 DATE: 10-09-2012
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PR NCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT:
PRINCIPAL TAX DUE:
PAYMENTS TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-)
12-14-2011 CD016403 4,642.19
09-17-2012 REFUND .00
AMOUNT PAID
89,166.00
964.47-
8413.72
TOTAL TAX PAYMENT 92,8413,72
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.
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