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BUREAU OF INDIVIDUAL TAXES r ~~~n~~1TAN`e~'~ TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION _ ~ 1~ REV-16o7 EX AFP t12-11)
Po Box z8o6o1 ST~T'EMENT 0~ :ACCOUNT
HARRISBURG PA 17128-0601
LEE 0 AMMERMAN
930 PINETOWN RD
LEWISBERRY
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ESTATE OF AMMERMAN HELEN 0
DATE OF DEATH 06-09-2011
~~,.-' FILE NUMBER 21 11-0801
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ACN 101
Amount Remitted
PA 17339-9773
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 _ -_ _)_ RETAIN LOWER PORTION FOR YOUR RECORDS _ E~- _ _ _
REV-1607 EX AFP C12-11~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:AMMERMAN HELEN O FILE NO.: 21 11-0801 ACN: 101 DATE: 11-19-2012
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: 05-14-2012
PRINCIPAL TAX DUE:
7,301.00
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-~
08-26-2011 CD014901 103.53 1,967.00
01-16-2012 CD015474 .00 5,236.00
TOTAL TAX PAYMENT ~ 7,306.53
BALANCE OF TAX DUET 5.53CR
INTEREST AND PEN. ~ .00
TOTAL DUE I I
5.53CR
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" tCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. ~'~
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