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DEPARTMENT OFREVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-16o7 D( AFP C12-12)
INHERITANCE TAX DIVISION S TAT E M E N T O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601 ` ` ""-"
�ECQ��l�''�� ��'�'��� �F DATE 06-10-2013
��(�� .��,��� �� ��,���5 ESTATE OF ROHM ANNA M
DATE OF DEATH 02-06-2013
���� Uu� �� �, } � �� COUNTYUMBER CUMBERLAND
WILLIAM A ROHM ACN 101
2977 ENOLA RD ����K O� Amount Remitted
CARLISLE PA 17Q��,�p$� ��URT
CUMBERLAND GO., PA
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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 ALON6 THIS LINE � RETAIN LOWER PORTIDN FOR YOUR RECORDS F--
REV-1607 EX AFP C12-12� *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:ROHM ANNA M FILE NO. : 21 13-0190 ACN: 101 DATE: 06-10-2013
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: 06-03-2013
PRINCIPAL TAX DUE: 1,284.34
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+� AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-25-2013 CD017222 2.59 49.26
04-19-2013 CD017471 bl.b3 1,221 .90
TOTAL TAX PAYMENT 1,335.38
BALANCE OF TAX DUE 51.04CR
INTEREST AND PEN. .00
TOTAL DUE
51.04CR
* 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.