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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION p //��n/� /r�� OFFICE OF ACCOUNT
HARRISBURG6PA 17128-0601 RtECOR%IDGU OF ICE OF
REGISTER OF f""'S DATE 05-20-2013
R tt� �1 f1 ESTATE OF ORLOWSKY JAMES M
0!113 f0 2111 FR 2 OO DATE OF DEATH 04-18-2010
_ FILE NUMBER 21 10-0503
CLERK OF COUNTY CUMBERLAND
JACQUELINE M VE R�#!EY ESkQ(•.
44 S HANOVER 11 lei 1'AM3 L,3U?� I ACN 101
CARLISLE (TOMAE14Ol'3�",3306' rj' Amount Remitted
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 FOR YOUR RECORDS 4—
REV-1607 EX AFP (12-12) ■ ■ INHERITANCE TAX STATEMENT OF ACCOUNT N;*
ESTATE OF:ORLOWSKY JAMES M FILE NO. : 21 10-0503 ACN: 101 DATE: 05-20-2013
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: 04-29-2013
PRINCIPAL TAX DUE: 41,350.70
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
07-16-2010 CDO13066 2,022.14 38,420.75
09-24-2010 SBADJUST .00 .01
03-01-2013 CDO17249 . 00 907.80
05-08-2013 CDO17573 57.54- 57.54
TOTAL TAX PAYMENT 41,350.70
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.