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DEPARTMENT OFREVENUE
BUREAU OF INDIYIDUAL TAXES INHERITANCE TAX R�v-�6o� EX AFP C12-12)
INNERITANGE TAX DIVISIpN S TAT E M E N T O F AC C 0 U N T
PO BOX 280601
HARRISBUR� PA 17128-06p1
������'��} {,��'��(`,� �}�` DATE 03-25-2013
R�GI.�.�T�.ft �F '��9LL5 ESTATE OF STPOS BETTY J
DATE OF DEATH IO-07-2010
)��i� �P�1 1 P(ti 1� tlLt FILE NUMBER 21 10-1134
1 t ! .L i-1 GOUNTY CUMBER�AND
RYAN R 6A6ER ESQ ACN 101
FL 7 �'�-��� Q�
2 M 2ND ST ��{�����s {�'(}���" Amount Remitted
HARRISBURG PA ��g�'�1��� ��.' ��
MAKE CHECK PAYAB�E AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHQUSE SQUARE
CAR�ISLE PA 17013
NOTE: Ta ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT A�ONG THIS LiNE �--) RETAIN LOWER PORTION FQR YOUR REGORDS E�
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REV-I607 EX AFP C12-12) *** INHERI7ANCE TAX STATEMENT OF ACCCiUNT �*�
ESTATE OF:SIPOS BETTY J FILE N0. : 21 1p-1134 ACN: 101 DATE: 03-25-2013
7HIS STA7EMENT PRQVIDES GURRENT STATUS OF THE STATED ACN IN TNE NAMED ESTATE. BELOW IS A SUMMARY 4F THE PRINCIPAL
TAX DUE, APPLICATION QF ALl PAYMENTS, TNE CURRENT BAIANCE, AND, IF kPPLICABLE, A PROJECTED INTEREST �IGURE.
DATE OF LAST ASSESSMEN7 OR RECORD aDJUSTMENT: 02-19-2013
Pf2INCIPAL TAX DUE: 9r873.86
PAYMENTS tTAX CREDITS� :
PAYMEHT RECEIPT DISCDUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMDUNT PAID
12-OS-2010 CDUI3759 393.71 7,480.52
03-12-2013 CD017316 100.68- 2,100.47
TOTA� TAX PAYMENT 9r874.02
BALANCE OF TAX DUE .16CR
INTEREST AND PEN. •�Q
TOTAL DUE
.16CR
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR GALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE T3 REFLECTED AS A •'CREDIT" CCR}, YOU MAY BE DUE A REFUND. SEE REYERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.