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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP C12-12)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-06D1 �E�����;`1 ������ ��
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ESTATE OF WAY ROBERT E
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�L�`NUMBER 21 12-0390
C���� �; COUNTY CUMBERLAND
JESSICA L FISHER �������� �� 101
STE C100 ��
Amount Remitted
555 GETTYSBURG PIKE GUt�BERL�P�fl ��.� f�A
MECHANICSBURG PA 17055-5204
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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 PORTIUN FOR YOUR RECORDS f—
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REV-1607 EX AFP C12-12� *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:WAY ROBERT E FILE NO. : 21 12-0390 ACN: 101 DATE: 03-18-2013
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: 1,678.43
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID t-�
03-30-2012 CD015773 83.92 1,627.40
03-04-2013 REFUND .00 32.89-
;
TOTAL TAX PAYMENT 1,678.43
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" CCR), YDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.