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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION
STATEMENT PO BOX 280601 OF ACCOUNT
HARRISBURG PA 17128-0601
RECORDED 00IFFI E OF
REG. ISTE11 0, '.' I'L L S DATE 04-01-2013
ESTATE OF OROURKE VIVIAN M
2`'i3 APR 5 '° F DEATH
FILE NUMBER 21 11-0887
CHARLES E SHIELDS COUNTY CUMBERLAND
�L yr� i� ACN 101
6 CLOUSER RD 0 R P H A�+.�S' Zv Amount Remitted
MECHANICSBURG CUMP,.A..,l� ��47'y PA
tSrti t 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 _ f— _
REV-1607 EX AFP C12-12) *+�* INHERITANCE TAX STATEMENT OF ACCOUNT **
ESTATE OF:OROURKE VIVIAN M FILE NO. : 21 11-0887 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: 03-04-2013
PRINCIPAL TAX DUE : 9,219.38
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-24-2012 CDO15631 .00 183.51
07-17-2012 CDO16265 305.26- 9,341 . 13
03-21-2013 CDO17362 17.65- 17.65
TOTAL TAX PAYMENT 9,219.38
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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