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DEPARTMENT OF REYENUE
9UREAU OF INOIVIDUAL 7A%ES INNERI7ANCE TAX REV•id07 fX nFP t12-123
INNERITANCE TA7( DIVISION STATEMENT� OF� ACCdUNT
PD BqX Y806U1 �
HARRISBUR6 PA ITT28-0661
k2ECORDED Qf'flGE OF nare oa-oa-zoia
REGIS�C��� OF WILLS £STATE QF RONM ANNA M
DATE OF DEATH 02-06-2013
;'.J�3 J�JN 7 PI� 1 32 fue xubaee �i ia-aiqo
COUNTY CUMBERLAND
WILLIAM A ROHM �,�ER� 4F ACN 13108164
297� ENqLA RD ������, ��u�,t,
CARLISLE PA 1 Amount Remitted
GUMBERLANC? C4., PA �_
XAKE CHECK PAYASLE AND REMIT PAYMENT T0:
REGISTER 17F WILIS
1 COURTHOUSE SQUARE
CARLISLE PA 17613
NOTE: To ansure propar cratlit to your accaunt, submit the upper po�tipn of thia farm vltri Your tax paymant. �
LUT ALONB TNIS LINE �-► RETAIN LOWER PORTION FOR YOUR RECORDS F
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REV-l607 EX AFP C12-12) ■�■ INHERITANCE TAX STATEMENT OF ACCOUNT ■a■
ESTATE OF:ROHM ANNA M FILE N0. : 21 13-0190 ACNa 13108164 DATE: 06-03-2013
THIS S7ATEMEN7 PROYIDES CURRENT STATUS OF THE S7ATEA ACN IN THE NAMED ESTATE. HELOW IS A SUMNARY OF THE PRIHCIPAL
TAX DkIE� APPLICATIDN OF Alt PpYMENTS, 7HE CURRENT BALANCE, AND. IF APPILCABLE, A PRO.IECTED INTEREST FI�,UR£.
OATE OF LAST AS5ESSMENT dR RECORD ADJUSTMENT: 05-29-2013
PRINCIPAL TAX DUE: .00
PAYMENTS fTAX CREDITS? :
PAYMENT RECEIPT DISCOUNT C+I AMOUNT PAID
AATE NUM9ER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .0�
BALANCE OF TAX pUE •��
INTEREST AND PEN. .00
� - TOTAL DUE Op
� LP PAID AfTER TNLS DA7E. 5EE REVERSE SIDE FpR CALCULA7ION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A ^CREOIT^ CCRJ� YOU XAV BE DUE A REFUND. SEE HEVERSE SIDE OF TH25 FORM
FOR INSTRUCTIONS.
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