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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 IX AFP C12-12)
INHERITANCE TAX DIVISION STATEMENT O F ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
EC RDED OFFICE Q DATE 04-08-2013
REGISTER OF WILLS ESTATE OF JOHNSON JERRY L
DATE OF DEATH 05-06-2012
ti Ut APR FILE NUMBER 21 12-0586
1 A COUNTY CUMBERLAND
JAMES D BOGAR ESQ ACN 101
1 W MAIN ST CLERK OF
SHIREMANSTOWN PA 100RHAW COURT Amount Remitted
CUMBeRLAND CO., PA
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--
RE4-1607 EX AFP (12-12) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:JOHNSON JERRY L FILE NO. : 21 12-0586 ACN: 101 DATE: 04-08-2013
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: 02-19-2013
PRINCIPAL TAX DUE: 10,717.60
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-24-2012 CDO16300 535.88 10,747.05
03-21-2013 REFUND .00 565.33-
TOTAL TAX PAYMENT 10,717.60
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.