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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
HARRISBURG PA 17128.0601 RECORDED OFFICE O F
REGISTER OF b'r RTE OF ORLOWSKY13 JAMES M
��)atiil� T pOF DEATH 04 -18 -2010
Il �f}L LNUMBER 21 10 -0503
COUNTY CUMBERLAND
JACQUELIN M VERNEY CLERK OF
ACN 101
44 S HANOVER ST ORPHANS` COURT Amount Remitted
CARLISLE PA 17013- WABERLAND CO PA
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 --
REY -1607 EX AFP {12 -12) *■ ZNNERITANCE TAX STATEMENT OF ACCOUNT■
ESTATE OF:ORLOWSKY JAMES M FILE NO.: 21 10 -0503 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: 09 -13 -2010
PRINCIPAL TAX DUE: 40.442.90
PAYMENTS (TAX CREDITS):
PAYMENT
RECEIPT
DISCOUNT (+)
AMOUNT PAID
DATE
NUMBER
INTEREST /PEN PAID { -)
07 -16 -2010
CDO13066
2,022.14
38,420.75
09 -24 -2010
SBADJUST
.00
.01
03 -01 -2013
CDO17249
.00
907.80
TOTAL TAX PAYMENT 41,350.70
BALANCE OF TAX DUE 907.80CR
INTEREST AND PEN. i .00
I TOTAL DUE I 907.80CRI
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A ^CREDIT^ tCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. ,"'