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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 12-17-2012
REGIS- 3 z t~ n ESTATE OF OVER BERNICE G
DATE OF DEATH 06-05-2012
Cv l P-P 21 ~ Li J FILE NUMBER 21 12-0815
COUNTY CUMBERLAND
KURT A BLAKE ESQ
29 E PHILA ST CLERK G ACN 101
YORK ' AN3,1 C Amount Remitted
CUMBERS "_D
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 _ 4 -
REV-1607 EX AFP (12-12 _ _ _ _ _INHERITANCE TAX STATEMENT OF ACCOUNT _ _ _ _
ESTATE OF:OVER BERNICE G FILE NO.: 21 12-0815 ACN: 101 DATE: 12-17-2012
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: 12-03-2012
PRINCIPAL TAX DUE: 23,950.17
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-30-2012 CDO16457 1,197.51 22,795.41
12-03-2012 REFUND .00 42.75-
TOTAL TAX PAYMENT 23,950.17
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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.