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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
RED`" ESTATE OF ODELL JACQUELIN L
L, DATE OF DEATH 05-29-2012
~E
ril L s FILE NUMBER 21 12-1167
COUNTY CUMBERLAND
ALAN J DENSHAM
CL- ACN 12157284
515 SADDLE RIDGE D A r• r,;.
I RWI N p t H N J Amount Remitted
cU !R N
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-
--------EX AF----PC12---- - - 1727) I----N-HERITANCE T----------AXSTA-----TEMENT OF ACC----------OUNT
REY-1607
ESTATE OF:ODELL JACQUELIN L FILE NO.: 21 12-1167 ACN: 12157284 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: 12.53
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-02-2012 CDO16735 .00 12.53
TOTAL TAX PAYMENT 12.53
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.
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