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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
RECORDED OFFICE OF
REGISTER OF Y~lLLS
?CI2 (v0U 30 fly] II y2
TERRY CLAY CI.ER~ OF
1485 HUNTLEY CT
YORK 0~-~N8C~T
CUMBERLAND CO., PA
DATE 11-26-2012
ESTATE OF SIMMONS CAROLINE R
DATE OF DEATH 10-16-2011
FILE NUMBER 21 11-1140
COUNTY CUMBERLAND
ACN 11170329
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 _ ~ _ _ _
REV-1607 EX AFP [12-11) **~ INHERITANCE TAX STATEMENT OF ACCOUNT **~
ESTATE OF:SIMMONS CAROLINE R FILE NO.: 21 11-1140 ACN: 11170329 DATE: 11-26-2012
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: 09-25-2012
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
11-17-2011 CD015220 .00 1,948.86
TOTAL TAX PAYMENT 1,948.86
BALANCE OF TAX DUE 1,948.86CR
INTEREST AND PEN. .00
TOTAL DUE
1,948.86CR
* 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.