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BUREAU OF INDIVIDUAL TAXES ~ ~ ~`~ ' 3 '~:I I~hFER:I~T ~JCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~ ~ REV-1607 EX AFP (12-11)
Po Box z8o6ol , ~=ST~-TEME~T, ~~F ACCOUNT
HARRISBURG PA 17128-0601
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ADELLA A WAUHOP ~ ` ,'- ''F , _ ..
20 FRELINGHUYSEN ST ±'~ ~~ - ~~~~-' ~~~! ^~`~
BELVIDERE NJ 07823-2023
DATE 11-19-2012
ESTATE OF AMMERMAN HELEN 0
DATE OF DEATH 06-09-2011
FILE NUMBER 21 11-0801
COUNTY CUMBERLAND
ACN 12503925
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 _ -_~_ _ RETAIN LOWER PORTION FOR YOUR RECORDS _ ~ _ _
REV-1607 EX AFP C12-11? *** INHERITANCE TAX STATEMENT OF ACCOUNT **~
ESTATE OF:AMMERMAN HELEN 0 FILE NO.: 21 11-0801 ACN: 12503925 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: 10-22-2012
PRINCIPAL TAX DUE:
95.04
PAYMENTS (TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+~ AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-02-2012 CD016591 .00 95.04
11-16-2012 SBADJUST .00 1.61
TOTAL TAX PAYMENT ~ 95.04
BALANCE OF TAX DUET .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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