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pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP c1z-1z)
INHERITANCE TAX DIVISION ~ r s ~s C e ;~5 P T OF ACCOUNT
PO BOX 280601 ~C ~°E~,.~~~ il1~..
HARRISBURG PA 17128-0601
RE
DATE 12-17-2012
, ESTATE OF ODELL JACQUELIN L
Al DATE OF DEATH 05-29-2012
,p FILE NUMBER 21 12-1167
CLERK 0, y° _ COUNTY CUMBERLAND
ALAN J DENS"HANS' i_ i ACN 12157282
515 SADDLE RIDCOUNBERLA INN CC) `A Amount Remitted
IRWIN PA 15642-9204
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-
------------P---------------I-N-HERIT----ANCE T------AXSTA-----TEMENT -----OF AC-----COUNT
REV-1607 EX AF C12-12)
ESTATE OF:ODELL JACQUELIN L FILE NO.: 21 12-1167 ACN: 12157282 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 AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
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.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.