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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
RCS DATE 12-17-2012
REGIST
ESTATE OF JONES HARRY D
DATE OF DEATH 02-24-2012
, r , 1
L
t~ rL 2~► ( FILE NUMBER 21 12-0321
COUNTY CUMBERLAND
SANDRA L MEMBRINO n" r-
(i1,.~..~.ii ACN 12503182
457 S OLD MIDDLETO
' Amount Remitted
MEDIA PA 0. 8~`
CUMBERLAND C o., P4.
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:JONES HARRY D FILE NO.: 21 12-0321 ACN: 12503182 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: 11-19-2012
PRINCIPAL TAX DUE: 565.34
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
11-21-2012 CDO16829 .00 565.34
TOTAL TAX PAYMENT 565.34
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.