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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISI R D r fis r �-
PO BOX 280601 ECO;�a ,..... ' a F{fE ATEMENT OF ACCOUNT
HARRISBURG PA 17128-060 I�E�� 1.. ,� OF•
._i\
DATE 04-01-2013
ii; i v1 ESTATE OF THOMAS WILLIAM H
DATE OF DEATH 05-09-2010
G LE1� `� 10
FILE NUMBER 21 10-0501
CHARLES E SQg LHAN�j � -' l COUNTY CUMBERLAND
6 CLOUSER ' 4 ,t`� �^`` ACN 101 -
Amount Remitted
MECHANICSBURG PA 17055-9751
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 _ +- _
REV-1607 EX AFP (12-12) *�( INHERITANCE TAX STATEMENT OF ACCOUNT *�(�( -
ESTATE OF:THOMAS WILLIAM H FILE NO. : 21 10-0501 ACN: 101 DATE: 04-01-2013
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: 02-04-2013
PRINCIPAL TAX DUE : 26,090.07
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-28-2010 CDO13117 1,250.00 23,750. 00
11-21-2012 CDO16824 53. 01- 1 , 143.08
03-17-2013 CDO17338 5. 18- 5. 18
TOTAL TAX PAYMENT 26,090.07
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.