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pennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAjFC0fj } ' i`, N RITANCE TAX
INHERITANCE TAX DIVISION S T,f�T E{+�E N T O F ACCOUNT REV-1607 EX AFP (12-12)
PO BOX 280601 �C? ;.y + i l�
HARRISBURG PA 17128-0601
MP 3 �} DATE 04-29-2013
ESTATE OF ADLER ROBERT A
CL c-F:?i. DATE OF DEATH 02-20-2012
�, .,,d ,4 .,.( , ;: FILE NUMBER 21 12-0252
0IR' ,'AI-3J ; 11',1i
WILLIA L ADLE � � COUNTY CUMBERLAND
�UIJBERLAIN P ACN 101
4949 DEVONSHIRE RD Amount Remitted
HARRISBURG PA 17109=1729
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 farm with your tax payment.
CUT ALONG THIS LINE —� RETAIN LOWER PORTION 4--_ON FOR YOUR RECORDS 4—
_ _ _ _ _
REV-1607 EX AFP (12-12) *** INHERITANCE TAX STATEMENT OF ACCOUNT _ x;*
ESTATE OF:ADLER ROBERT A FILE NO. : 21 12-0252 ACN: 101 DATE: 04-29-2013
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: 04-01-2013
PRINCIPAL TAX DUE: 17,839.80
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-30-2013 CDO17112 89.20- 17,929.00
04-17-2013 CDO17465 14.66- 14.66
TOTAL TAX PAYMENT 17,839.80
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.
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