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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
_ OfDIIIVIDUAL TAXESDc('rqrFD OFFICE nc INHERITANCE TAX
IllERITAIlCE TAX DIWIstlll ":,::::'~';';:~ r," $'TATEMENT OF ACCOUNT
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tWIIl__ PA 17121-0601 ,.L..,.,_.....I, -' I '_}I -
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REV~1607 EX AFP (03.05)
2005 JUL 22 PI'1 2: 12
DATE
ESTATE OF
DAn OF DUTH
FILE NUMBER
COUNTY
ACN
07-18-2005
BRETZ
03~U-2005
21 05-0511
CUMBERLAND
05001720
, _t _lttH
MABEL
E
CLERK OF
ORCw6ttS I'ni)'Ri
.' III '" \ \...\j._ I
~~~:R~LD w~L~~~K~R~ '; ,) pA
MECHANICSBURB PA 17050
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURTHOUSE
CARLISLE, PA 17015 '
NOTE: To In...... 1>"-'" credit to your _t, _it the upper portion of thl.8 fore with your t_ ..._t.
CUT ALONS THIS LINE
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
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REV-1607 EX AFP (OS-OS)
*** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF BRETZ MABEL E FILE NO.21 05-0511 ACN 05001720 DATE 07-18-2005
TllIS STUDENT IS P~D TO ADVISE Of THE CUllENT STATUS Of THE STATED ACN IH THE HAMED ESTATE. S_ BELDII
IS A _IV Of THE PIDlCIPAL TAX DUE, APPLICATION Of ALL PAYHENTS, THE CUlIEHT BALANCE, AIID, If APPLICABLE,
A PROJECTED INTEIEST fI_.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 07-18-2005
PRINCIPAL TAX DUE, 572.78
PAYMENTS (TAX CREDITS),
PAYMENT RECEIPT DISCOUNT (+) AMOUHT PAID
DATE NUMBER INTEREST /PEN PAID (-)
06-06-2005 CD005402 28.64 544.15
,
.
" ,
TOTAL TAX CREDIT 572.79
BALANCE OF TAX DUE .01CR
INTEREST AND PEN. .00
If PAID AfTEI TillS IIATE, se _ TOTA,L ,DUE .01CR
.
SIDE fOl CALCllLATIDH OF _ITIDHAL IHTIllEST.
I If TOTAL DUE IS LESS THAN .1,
NO PAYHENT IS IElIIIIIED.
IF TOTAL DUE IS IEFLECTED AS A "CIEDIT" ICII,
YOU HAY BE DUE A IEfUHD. SEE IEVEISE SIDE OF THIS fOIll fOl IHSTIUCTIDHS. I
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