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BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DEPARTMENT OF REVENUE
POHBOXT280601~ DIVISION STATEMENT 0 F ACCOUNT REV-1607 EX AFP clz-11)
HARRISBURG PA 17128-0601 "
RECORDED 4~'F-~~ 0~
REG1S~'ER OF `~~,~.5
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IAN R VIAMINNICH
2039 HARVEST DR CLERK OF
MECHANICSBURG N+-~~~-j-
BfRl.ANO CD., PA
DATE 11-26-2012
ESTATE OF DAVIES EDRIS W
DATE DF DEATH 03-26-2011
FILE NUMBER 21 11-0544
COUNTY CUMBERLAND
ACN 11130163
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NDTE: To ensure proper credit to your account, submit the uDPer portion of this form with your tax payment.
CUT ALONG THIS LINE _ _~_ _ RETAIN LOWER P_ORTI_ON FOR YOUR RECORDS _ t-
REV-1607 EX AFP C12-11) **~ INHERITANCE TAX STATEMENT OF ACCOUNT ~~*
ESTATE OF:DAVIES EDRIS W FILE NO.: 21 11-0544 ACN: 11130163 DATE: 11-26-2012
rHis 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: 09-17-2012
PRINCIPAL TAX DUE: 89.08
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-09-2012 CD016771 2.06- 91.14
11-23-2012 SBADJUST ,00 .27
TOTAL TAX PAYMENT 89.08
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 FDRM
FDR INSTRUCTIONS.
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