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`�' DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
RECORDED OFFICE OF
RECISTE OF V,'JLLS DATE 05-20-2013
ESTATE OF SHIRK LOIS G
DATE OF DEATH 06-24-2012
riff 211 hl 2 07 FILE NUMBER 21 12-1035
;, COUNTY CUMBERLAND
DEBRA K WALLET
(✓L EM'% OF ACN 101
24 N 32ND ST OR PI-1 A N S, C0liR T Amount Remitted
CAMP HILL P 1 ,9
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CO., PA
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) a** INHERITANCE TAX STATEMENT OF ACCOUNT ■**
ESTATE OF:SHIRK LOIS G FILE NO. : 21 12-1035 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: 05-06-2013
PRINCIPAL TAX DUE: 471 .82
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-20-2012 CDO16532 23.59 500.00
05-06-2013 REFUND .00 - 51.77-
TOTAL TAX PAYMENT 471 .82
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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