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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
_EAU OF D1DIVIlIUAL TAXES R~('onDFD O~C'('j:~,- INHERITANCE TAX
IIlIERIT__ TAX DIVISIIII ~V ~_:_ ~' k'~ , ATEMENT OF ACCOUNT
PO lOX ...." OFIC'~ i ~CI n_ "
HArIIISIlIIII PA 17121-8601 II u.\)\J, l_, I ,~., '._'~:
*'
Z005 JUL 22 PM 2: 12
DATE
ESTATE OF
07-11-200~
SHEPLER
REV-1617 EX AfP (05-05)
DATE OF DEATH 12-19-200
CLERK OF FILE NUgER 21 05-008
ORO' 'i'J' I'C' ('OLm COUNTY CUMBER LAN
! I ii, 1;,,) \./\... I'~
IRA H WEINSTIIC!tU,"T.j "',J C,A, ACN 101
BOO N 2ND ST I, , , _t _itt...
HBS PA 17102
MAKE CHECK PAYABLE AND A INIT PAYMENT TO:
RESISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To in...... p,,-r or_It to lIour __t, _it the _r portion of thb fol'll lth lIour box _to
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS "~ ~.....................
....._--~_.-rs....--..M.'.m.~.........m............._.......
REV-1607 EX AF (03-0 )... IT NC TAX STA EMENT OF ACCOUNT ii
E8TATE OF SHEPLER BONNIE S FILl NO. 21 05-0086 ACN 101 DATE 07-11-2005
TIllS STATI!IIEJIT IS _IDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN TIlE NAIlED ESTATE. _ tELOII
IS A _IY OF TIlE PilINCIPAL TAX DUE, APPLICATIllIl OF ALL PAYMENTS, THE CURRENT BALANCE, , l1li, IF APPLICABLE,
A T FIIIllliE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT. 06-13-2005
PRINCIPAL TAX DUE. 12,294.95
PAYMENTS (TAX CREDITS).
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-17-2005 CD005071 614.75 12,294.95
06-24-2005 REFUND .00 614.75-
TOTAL TAX CREDIT 12,294.95
BALANCI OF TAX DUE .00
INTaRI8T AND PIN. .00
. IP PAlO A"ER TIllS DATE, SEE REVERSE TOTAL DUE .00
SlOE FOR CALCULATION OF AllllITIOHAL INTEREST.
I IF TOTAL IIlIE IS LESS THAN tl,
NO PAYIIENT IS RElIlIIUD.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, ~
YIIlI KAY BE DUE A REfUND. SEE REVERSE SlOE OF THIS FORH FOR INSTRUCTIONS. I
BONNIE
S