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BUREAU IOF INDIVIDUAL TAXES INNERITANCE TAX Rev-1607 EX AFP C12=12>
INXEk1TAY,ICe r.� orvisioN STATEMENT OF ACCQUNT
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DATE 4F DEATB 05-24-207.2
CG;3 �f',�G 23 ���I � �0 Fi�.� Huna�R zi iz-iis�
COUNTY CUMBERLANO
IIENSNAM MlILLIAN �}1E��;�� E'::' AE� 101
844 KZEHL UR `z �g S
LEMpYNE PAQ7G�4'3=��20y����� Amount R¢mitt0d
CUMBE�{LAND CO., PA
� MAKE CHECK PAYABIE AND REMZT PAYMENT T4:
RE6ISTER OF WILLS
1 COURTH4USE SqUARE
CARIISLE FA 17013
No E: 7o ensure pr000r cradit to yaur aecount, submit tha ucpsr oortlon of thds torm wlth your tax pay�ant.
CU7 A OHC TNZS LTNE � RE7AIN GOWER PORFION FOR Y�UR REC4RD$ t-�
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REY-i 87 EX AFP CZ2-12) ■�■ INHER2TANCE TAX STATEMENT OF ACCOUNT ■xx
ESTAT Of:ODELL .IACQUEIIN l FItE NO. : 2i 12-llbl ACN: 1Q1 DATEz 68-19-20F3
TNIS ST TEMENT PROVSDES CURRENT STATUS I7F TXE STATE6 ACN IN THE HAMED ESTATE. BELOW IS A 5UMXARY pp 7HE PRINCIPAL
TAX DUE APPLICA7ION 4P ALL PAYMENTS, THE WRRENT BALANCE� AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMEN7: 08-12-2013
PRZNCI A(. 7AX DUE: 51.42
PAVM6N S C7AX CR6DITS) :
PAY ENT RECEIPT DISCQUNT {+} AMOUNT PAID
DA E NUMBER INTEREST/PEN PAID (-)
11-0 -2012 CDU16735 .00 5I,42
i
� TUTAL T1UC PAYMENT 51.42
(
' BALANCE 8F TAX DUE .00
INTEREST AND PEN. ���
TOTAL DUE
.00
• ZF P ID AFTEN 7H23 DA7E, SEE R£VERSE SIDE FOR CALCUtATIDN Op ADDFTZBNA� IN7ERE5T. �
TF T TA� DUE SS REFLECTED AS A "'CREDIT^ CCR}, YOU MAY BE DUE A REFUND. SEE REVERSE S24E Di 7HTS FflRX `
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