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BUREAU OF INDIVIDUAL TAXES~~'~'t ~'` ' 4 ~+~'""1HERITANCE TAX
INHERITANCE TAX DIVISION ~'~(~ ~, - . ;-' ~ , ~ ° ~ ~`~
Po Box z8o6o1 ~ ~-.~ '--'~~-~' '~-~~ 3~'~TEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
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ROGER B IRWIN ~~~~-~'~-`~~~~~'~ ~{~°~ P~
A
60 W POMFRET ST
CARLISLE PA 17013-3243
pennsylvania' ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-11)
DATE 08-27-2012
ESTATE OF RIPSON MARTIN
DATE OF DEATH 06-18-2011
FILE NUMBER 21 11-0704
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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 PORTION FOR YOUR RECORDS _ F--
REV-1607 EX AFP C12-11~ *** INHERITANCE TAX STATEMENT OF ACCOUNT *** --
ESTATE OF:RIPSON MARTIN FILE NO.: 21 11-0704 ACN: 101 DATE: 08-27-2012
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: 07-16-2012
PRINCIPAL TAX DUE:
9,880.34
PAYMENTS (TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT t+~
INTEREST/PEN PAID C-)
AMOUNT PAID
09-18-2011 CD014982 489.47 9,300.00
01-05-2012 CD015423 .00 86.32
08-24-2012 SBADJUST .00 4.62
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* 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.
9,880.35
.00
.00
.00
~1