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pennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES p,.. oNt~Igt~,,~,,TANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION R E-C0 RD -.-sT'AT04 4-T OF ACCOUNT
PO BOX 280601 ~t
HARRISBURG PA 17128-0601 R E G};
DATE 12-17-2012
ESTATE OF OROURKE VIVIAN M
_ DATE OF DEATH 08-14-2010
L E~ FILE NUMBER 21 11-0887
0RP11 NlSF a' COUNTY CUMBERLAND
ROBERT OROU~BER L ACN 10172054
418 PINE RD V
Amount Remitted
MOUNT HOLLY SPR PA 17065
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
-----------------------------------------TEMENT ------OF ACC-----OUNT
REV-1607 E3(- AFP C12-12) INHERITANCE TAX STA
ESTATE OF:OROURKE VIVIAN M FILE NO.: 21 11-0887 ACN: 10172054 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: 02-10-2012
PRINCIPAL TAX DUE: 179.25
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
11-23-2012 CDO16870 8.22- 187.58
TOTAL TAX PAYMENT 179.36
BALANCE OF TAX DUE .11CR
INTEREST AND PEN. .00
TOTAL DUE
.11CR
* 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.
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