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BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DEPARTMENT OF REVENUE
POHBOXT280601~ DIVISION STATEMENT O F ACCOUNT REY-1607 Ex AFP c12-11)
HARRISBURG PA 17128-0601 -
RECORDEp OFFICE OF
REGISTER OF ~!!l.LS
1E12 NOU 30 fl~ 11 y2
EDRIS A DAVIES
2039 HARVEST DR CLERK OF
MECHANICSBURG P'Qt~PA~~'~~~URT
~BERLQND CO., PA
DATE 11-26-2012
ESTATE OF DAVIES EDRIS W
DATE OF DEATH 03-26-2011
FILE NUMBER 21 11-0544
COUNTY CUMBERLAND
ACN 11130162
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:DAVIES EDRIS W FILE NO.: 21 11-0544 ACN: 111301b2 DATE: 11-26-201?
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: 09-17-2012
PRINCIPAL TAX DUE: 196.63
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-09-2012 CD016771 4.55- 201.18
11-23-2012 SBADJUST .00 .59
TOTAL TAX PAYMENT 196.63
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
I ~ .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.