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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 2806D1 OF ACCOUNT
HARRISBURG PA 17128-0601
RECORD C,E OF
REGIS ;, a - 1,;,, „ DATE 04-01-2013
ST, r p, Or �'p. `� ESTATE OF HENDRY THOMAS 0
110,13 ppp t- ;� , DATE OF DEATH 04-28-2012
U J �If 11 `) i; �� FILE NUMBER 21 12-0538
COUNTY CUMBERLAND
DEBRA K WALLET CLERK OF ACN 101
24 N 32ND ST ORPHANS' COURT Amount Remitted
CAMP HILL CUR6Ei eAhjlf[; aA, P
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—
REV-1607 EX AFP C12-12) *** INHERITANCE TAX STATEMENT OF ACCOUNT **
ESTATE OF:HENDRY THOMAS 0 FILE NO. : 21 12-0538 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: 03-25-2013
PRINCIPAL TAX DUE : 11,441 .92
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-07-2012 CDO16229 40.63 771 .98
07-25-2012 CDO16309 526.32 10,000.00
01-27-2013 CDO17104 .00 915.60
TOTAL TAX PAYMENT 12,254.53
BALANCE OF TAX DUE 812.61CR
INTEREST AND PEN. .00
TOTAL DUE
812.61CR
* 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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