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BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION
STATEMENT
O F A C C O U N T REV-1607 EX AFP (12-12)
PO BOX 28D601
HARRISBURG PA 17128-0601 T. ~...,~ ,, _,
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01-22-2013
~ '~STATE OF YOCUM ROSE A
~:~ ,~ _,( C~ ~~-; 1 ,DATE OF DEATH 07-02-2011
` ~ ~ ~~ LE NUMBER 21 11 - 0862
~z-~ COUNTY CUMBERLAND.
JOEL R ZULLINGER `~ ~• ~~ ~ - ACN 101
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CHAMBERSBURG PA 17201-1814 -~ ``'
MAKE CHECK PA YABLE AND REMIT PAYMENT T0:
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 _ -_ _~_ RE_TAIN LOWER PORTION FOR YOUR RECORDS _ E--
REV-1607 EX AFP C12-12~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:Y000M RDSE A FILE NO.: 21 11-08b2 ACN: 101 DATE: 01-22-2013
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: 12-24-2012
PRINCIPAL TAX DUE:
3,526.02
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-30-2011 CD015024 176.30 4,275.00
01-02-2013 REFUND .00 925.28-
TOTAL TAX PAYMENT 3,526.02
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.
. ~ Pennsylvania
DEPARTMENT OF REVENUE