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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE FAX 0[VISION
PO RI 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
RECORDED OFFICE OF DATE 03-11-2013
REGIS T ZR OF ESTATE OF SICKLES MARY
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DATE OF DEATH 02-27-2011
2013 MRR 18 R tl 8 '(9 FILE NUMBER 21 12-1234
COUNTY CUMBERLAND
HERMAN L MARTIN CLERK GIF ACN 11163911
APT 1804
322 N 2ND ST ORPHANS ril���lil' Amount Remitted
HARRISBURG PA CAM 6E1R 4 N 0 1,1. P1', �'�
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 CDURTHOUSE 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-I647 EX AFP {22-I2) *x; INHERITANCE TAX STATEMENT OF ACCOUNT ■*;
ESTATE OF:SICKLES MARY FILE NO. : 21 12-1234 ACN: 11163911 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: 12-07-2012
PRINCIPAL TAX DUE: 52.86
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-20-2013 CDO17196 1.71- 54.57
03-08-2013 SBADJUST .00 .24
TOTAL TAX PAYMENT 52.86
BALANCE OF TAX DUE 100
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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
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FOR INSTRUCTIONS. +°�