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DEPARTMENT OFREVENUE
BUREAU qF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12>
INHERITANCE TAX DIYISIOk S TAT E M E N T D F AC C 0 E!N T
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HARRISBUR6 PA 17128-0601
��{i����� �}����`r� ��DATE 03-25-2013
��G#����?, Q� ���,���,j, ESTATE OF CASSELL DONALD E
DATE OF DEATN 10-11-2010
'(��3 tit t1 � f ! 1 12 I�ILE NUMBER 21 10-1058
GOUNTY CUMBERLAND
LFSA MARIE COYNE �s� �L��K �� ACN 101
3901 MARKET ST
CAMP HI�L PA 2701��P+�!�r�?� �'{���T Amount Remitted
CUMFBERLA�� CQ., PA
MAKE CHECK PAYABLE AND REMIT PAYMENT TOz
REGISTER OF WILLS
i COURTHpUSE SQUARE
CARLISLE PA 170Z3
NOTE: To ensure proper credit to your account, submit the upper partion of this form with your tax payment.
CUT Al.ONG TNIS LINE --Y RETAIN Lt�WER PORTION FOR Yf}UR RECORDS �E— _ _ __� _ _ _ R _ ____
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REV-1607 EX AFP C12-I2) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:CASSELL DOt�ALD E FILE NO. ; 21 1Q-1058 ACN: 101 DATE; 03-25-2013
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BEL.pW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPL.ICATTCiN dF A4t PAYMENTS, THE CURRENT BA�ANCE, AND, IF APPIICABIE> A PRDJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-U4-2013
PRINCIPAL TAX DUE: 19,778.59
PAYMENTS tTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) �MDUNT PAID
O1-10-201I CDQ13881 988.93 30,000.00
03-04-2013 REFUND .00 11,210.34-
TOTAI TAX PAYMENT 29,778.59
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIqNAL INTEREST.
IF TOTAL DUE TS REFLECTED AS A "CREDIT" tCR}, YOU MAY BE BUE A REFUND. SEE REVERBE SIDE OF THZS FORM
FOR INSTRUCTIONS.