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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*'
REV-1607 EX AFP (03-05)
PATRICI J SLATICK
32 HAZEL CIR
MECHANICSBURG PA 17050
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
07-05-2005
MITCHELL
05-20-2004
21 05-0448
CUMBERLAND
04136237
A.OLrlt R...i tted
JACK
C
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account I submit the upper portion of this form with your tax pay~nt.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ...
.......................................~........................................................................
REV-1607 EX AFP (03-05) ~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF MITCHELL JACK C FILE NO.21 05-0448 ACN 04136237 DATE 07-05-2005
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN 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 DR RECORD ADJUSTMENT, 05-09-2005
PRINCIPAL TAX DUE: 2,552.09
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-17-2005 CD005333 30.07- 2,582.16
TOTAL TAX CREDIT 2,552.09
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
.
~
SIDE FDR CALCULATION DF ADDITIONAL INTEREST.
IF TDTAL DUE IS LESS THAN $1,
NO PAYKENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI,
YOU KAY BE DUE A REFUND. SEE REVERSE SIDE OF TKIS FORK FOR INSTRUCTIONS. I
BUREAU OF INDIVIOUAL TAXES
INHERITANCE TAX DIVISION
PO BDX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
J:NHERJ:TANCE TAX
STATEMENT OF ACCOUNT
PATRICIA SLATICK
32 HAZEL CIR
MECHANICSBURG PA 17050
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
'*
REV-1607 EX AFP (03-05)
07-05-2005
MITCHELL
05-20-2004
21 05-0448
CUMBERLAND
04136238
hount R_l tted
JACK
C
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WIllS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this forB with your tax pay..nt.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
.......................................~.......................................................................1
REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF MITCHELL JACK C FILE NO.21 05-0448 ACN 04136238 DATE 07-05-2005
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF TNE STATED ACN IN THE NA/1ED ESTATE. SMOlIN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYNENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT, 05-09-2005
PAYMENTS (TAX CREDITS),
PRINCIPAL TAX DUE, 1,788.77
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-17-2005 CD005333 21. 07- 1,809.84
TOTAL TAX CREDIT 1,788.77
BALANCE OF TAX DUE .00
INTEREST AND PEN. .01
IF PAID AfTER THIS DATE, SEE REVERSE TOTAL DUE .01
.
~
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
ND PA YNENT IS REWIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS fORM FOR INSTRUCTIONS. )
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
'*
REV-1607 EX AFP (03-05)
PATRICIA J SLATICK
32 HAZEL CIR
MECHANICSBURG PA 17050
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
07-05-2005
MITCHELL
05-20-2004
21 05-0448
CUMBERLAND
04136239
Alnount R_itt-.l
JACK
C
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your 8ccount, sub.it the upper portion of this form "ith your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
................................................................................................................
REV-1607 EX AFP <03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT KKK
ESTATE OF MITCHELL JACK C FILE NO.21 05-0448 ACN 04136239 DATE 07-05-2005
THIS STATEKEHT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUKHARY 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, 05-09-2005
PRINCIPAL TAX DUE: 330.03
PAYMENTS (TAX CREDITS),
INT
AT
REV
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
EREST IS CHARGED THROUGH 07-20-2005 TOTAL TAX CREDIT .00
THE RATES APPLICABLE AS OUTLINED ON THE
ERSE SIDE OF THIS FORM.. BALANCE OF TAX DUE 330.03
INTEREST AND PEN. 6.78
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 336.81
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"' (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOHN FOR INSTRUCTIONS. )
~
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 11128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
..
REV-1607 EX AFP (03-05)
PATRICIA J SLATICK
32 HAZEL CIR
MECHANICSBURG PA 17050
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
07-05-2005
MITCHELL
05-20-2004
21 05-0448
CUMBERLAND
04136240
AlIOunt ~1tt-.l
JACK
C
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax pay..nt.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ...
................................................................................................................
REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF MITCHELL JACK C FILE NO. 21 05-0448 ACN 04136240 DATE 07-05-2005
THIS STATENENT IS PROVIDED TO ADVISE OF THE CURREHT STATUS OF THE STATED ACH IH THE NAMED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 05-09-2005
PRINCIPAL TAX DUE, 753.30
PAYMENTS (TAX CREDITS),
INT
AT
REV
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-17-2005 CD005333 .00 96.11
EREST IS CHARGED THROUGH 07-20-2005 TOTAL TAX CREDIT 96.11
THE RATES APPLICABLE AS OUTLINED ON THE
ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 657.19
INTEREST AND PEN. 14.64
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 671. 83
.
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. l
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