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BUREAU OF INDIVIDUAL c~jputy'.~'Ff(;~ Q~ INHERITANCE TAX
INHERITANCE TAX DIVISION ~i
HARRISBURG6PA Inzs-o6ol ~~~~~~ ~ L, ';~,'~~ ! JtATEMENT OF ACCOUNT
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JAMES R Hu~R(,A~d CQ„ PA
1701 5TH AVE
ALTOONA PA 16602-2319
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-11)
DATE 10-15-2012
ESTATE OF JEFFREYS JAMES K
DATE OF DEATH 05-26-2011
FILE NUMBER 21 11-0740
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMIENTITO:
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 _ _--_~_ RE_TAIN LOWER P_ORTI_ON FOR YOUR RECORDS _ F-
REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ~ ~ -
ESTATE OF:JEFFREYS JAMES K FILE N0.:21 11-0740 ACN: 101 DATE• 10-15~-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 F~GUREi.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-20-2012
PRINCIPAL TAX DUE: 12,65 25
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
04-11-2012 CD015842 .00 12,500.00
09-28-2012 CD016580 48.16- 173.41
10-12-2012 SBADJUST .00 .18
TOTAL TAX PAYMENT 12,6}25.25
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
~ ~ .00
-i----
~ 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.