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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL W s INHERITANCE TAX
INHERITANCE TAX DIVISION O R L,_r� O F FI S T0E M E NT OF ACCOUNT REV-1607 EX AFP (12-I2)
PO BOX 280601
HARRISBURG PA 17128-0601 R E 0 1 ST Ef; OF :!jI Ls
DATE 05-20-2013 113 IRt 2 hn, L 07
ESTATE OF FISHER SYDNEY R
DATE OF DEATH 07-22-2011
CLERK OF FILE NUMBER 21 11-0869
ROBERT G FR ORPHANS' CJt!!� COUNTY CUMBERLAND
5 S HANOVER%MBFRLAND l •.., `A ACN 101
CARLISLE PA 17013-3307 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
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REV-1607 EX AFP (12-12J x INHERITANCE TAX STATEMENT OF ACCOUNT ■r■
ESTATE OF:FISHER SYDNEY R FILE NO. : 21 11-0869 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: 04-08-2013
PRINCIPAL TAX DUE: 5,431 .64
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-21-2013 CDO17197 135.85- 7,500.00
05-01-2013 REFUND .00 1,932.51-
TOTAL TAX PAYMENT 5,431.64
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. Ar�['})
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