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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601 {{� 1 (�
HARRISBURG PA 171211�60VI',L�Ci u—, 7 " F
� n,-n•� DATE 09-23-2013
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ESTATE OF FREDERICK MAX H
-•7 30 '� � "y� 2�' DATE OF DEATH 05-11-2012
! FILE NUMBER 21 12-0590
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DEBRA A`WH3TE n' „ ,1- ACN 12132545
45 WILLOQF6R6(E RD- - - Z'
Amount Remittetl
CARL IS C�j M BE RL_;;`.fPA„17.013-8322
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
REV-1607 EX AFP C12-12) *■ INHERITANCE TAX STATEMENT OF ACCOUNT ■*■
ESTATE OF:FREDERICK MAX H FILE NO. : 21 12-0590 ACN: 12132545 DATE: 09-23-2013
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: 06-18-2012
PRINCIPAL TAX DUE: 16.03
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
05-23-2012 CDO16015 .80 16.03
06-26-2012 CDO16183 .00 16.03
09-23-2013 REFUND .00 16.83-
TOTAL TAX PAYMENT 16.03
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" ICR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. (^y/
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