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BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION STATEMENT 0 F ACCOUNT REV-1607 EX AFP C12-11)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDEf) OFFICE OF DATE 11-26-2o1z
REGlSTf.:~t OF WELLS ESTATE OF BURLESON ROBERT L
Q m DATE OF DEATH 04-02-2011
~(I? i~OU 30 11! i ~1 ~~ FILE NUMBER 21 11-0444
COUNTY CUMBERLAND
SUSAN H CONFAIR CLERK OF ACN 101
2331 MARKET ST
CAMP HILL o~~~ig~~ ~4~~T Amount Remitted
CUMBERLAND CO., PA
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_TA_IN_L_O_WER PORTION FOR YOUR RECORDS _ ~ _
REV-1607 EX AFP C12-11) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BURLESON ROBERT L FILE NO.: 21 11-0444 ACN: 101 DATE: 11-26-2012
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY DF 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: 09-24-2012
PRINCIPAL TAX DUE: 11,637.42
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID C-) AMOUNT PAID
07-01-2011 CD014652 563.16 10,700.00
07-02-2012 CD016205 .02- 374.28
11-16-2012 CD016795 5.57- 5.57
TOTAL TAX PAYMENT 11,637.42
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.
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