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BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DEPARTMENT OF REVENUE
REV-1607 Ex AFP (12-12)
INHERITANCE TAX DIVISION T re"j r
PG Box 28060I RECORD E OF ACCOUNT
HARRISBURG PA 17128-0601 f . i
REGIS-1 Eft OF :'ILLS DATE 05-20-2013
'i i3 (iBY
JNSON
24 Fn 2 O DATETOFODEATH 11H07T2011 JAMES E
CLERK OF FILE NUMBER 21 11-1286
COUNTY CUMBERLAND
DAVID A BARIC ESQ ORPHAWS' COURT ACN 101
19 W SOUTH ST CUMPRgL��A Go., PA
CARLISLE PA 1 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 form with your tax payment.
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS F
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REV-1607 EX AFP (12-12) �( INHERITCE TAX STATEMENT OF ACCOUNT x;;
AN
ESTATE OF:JOHNSTON JAMES E FILE NO. : 21 11-1286 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: 04-19-2013
PRINCIPAL TAX DUE: 7,163.97
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-01-2012 CDO16724 . 00 7, 163.97
05-06-2013 CDO17559 50.52- 50.52
' TOTAL TAX PAYMENT 7, 163.97
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. (�