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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}
DATE 12-17-2012
R E C D
+ = _ ESTATE OF ODELL JACQUELIN L
DATE OF DEATH 05-29-2012
~ n M ,f ` FILE NUMBER 21 12-1167
C . l..+f i. Li L. F I 1 L J
COUNTY CUMBERLAND
WILLIAM J DENSHAM ACN 12157281
844 KIEHL DR CLL.
LEMOYNE OWKA$-Qi V Amount Remitted
CUMBERLAND OD P
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-
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REV-1607 EX AFP C12-12~ INHERITANCE TAX EMENT OF ACCO-UNT
ESTATE OF:ODELL JACQUELIN L FILE NO.: 21 12-1167 ACN: 12157281 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: 12-10-2012
PRINCIPAL TAX DUE: 8.63
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-3
11-02-2012 CDO16735 .00 8.63
TOTAL TAX PAYMENT 8.63
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. r
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM i
FOR INSTRUCTIONS. ,