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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV -1607 EX AFP (12 -12)
INHERITANCE. TAX DIVISION f9KRIEPTO .D.ECACenUNT
PO BOX 280601 ii -'"'II tt UU FF
HARRISBURG PA 17120 -0601 REGISTER ER OF ,p r �d
Rt. tlDp pJ G0'\ V d SS,,++,.TE 03 -11 -2013
IL i3ili7 1�� 8DA�TOFODEATH 0311512022 RENA V
CLERK FILE NUMBER 21 12 -0369
SUSAN J HARTMAN ORPHANS' CGUR COUNTY CUMBERLAND
ACN 101
1 IRVINE ROW CUMBERLAND CO., PA Amount Remittetl
CARLISLE PA 17013 -3019
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 4—
REV -1607 EX AFP C12 -127) � OF ACCOUNT *+;
ESTATE OF:GRISSINGER RENA V FILE NO. 121 12 -0369 ACN: 101 DATE: 03 -11 -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: 01 -28 -2013
PRINCIPAL TAX DUE: 31533.81
PAYMENTS (TAX CREDITS):
PAYMENT
RECEIPT
DISCOUNT ( +)
AMOUNT PAID
DATE
NUMBER
INTEREST /PEN PAID C -)
05-30 -2012
CDO16039
176.69
4,000.00
02-19 -2013
REFUND
.00
642.88-
TOTAL TAX PAYMENT 31533.81
BALANCE OF TAX DUE .00
INTEREST AND PEN. T i 4.00
TOTAL DUE I .00
x 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. ,.�