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pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
EC0fR"` - E- 0 DATE 12-17-2012
%I ESTATE OF FARRELL JAMES K
DATE OF DEATH 07-01-2011
I? 1
L Fin 1 it8 FILE NUMBER 21 11-1000
COUNTY CUMBERLAND
LOIS A FARRELL
ACN 101
263 W SOUTH ST
Amount Remitted
CARLISLE PA
b13~25' "
CUM BERLAN" D1
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:FARRELL JAMES K FILE NO.: 21 11-1000 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: 11-05-2012
PRINCIPAL TAX DUE: 1,875.33
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-29-2011 CDO15020 9.46 179.75
06-22-2012 CDO16158 .00 314.00
11-17-2012 CDO16862 27.99- 1,401.24
TOTAL TAX PAYMENT 1,876.46
BALANCE OF TAX DUE 1.13CR
INTEREST AND PEN. .00
TOTAL DUE
1.13CR
* 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.