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pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX D1v1Slo"
STATEMENT PO BOX 280601 OF ACCOUNT
HARRISBURG PA 17128-0601
RECO"GrO OFFICE OF
,.t -n - a DATE 04-01-2013
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ESTATE OF ALSBAUGH DAVID K
?�i�� F�PI1 � ! �� DATE OF DEATH 05-16-2010
I �1 ! FILE NUMBER 21 10-0605
ERA ,t _ COUNTY CUMBERLAND
WILLAIM P DOUGL4LERAP% 0s'
ACN 101
43 W SOUTH S-b RPH,ANS' COu S
Amount Remitted
CARLISLE ,�,q 1��- r,�
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 CC
ON FOR YOUR RECORDS _ 4— _ _
REV-1607 EX AFP C12-12) * INHERITANCE TAX STATEMENT OF AOUNT ***
ESTATE OF:ALSBAUGH DAVID K FILE NO. : 21 10-0605 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: 03-08-2013
PRINCIPAL TAX DUE : 876.99
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-05-2012 CDO16476 .00 716.68
03-21-2013 CDO17358 43.36- 203.74
TOTAL TAX PAYMENT 877.06
BALANCE OF TAX DUE .07CR
INTEREST AND PEN. .00
TOTAL DUE
.07CR
► 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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