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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX ZII0601
HARRISBURG PA 171ZII-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
fY'~f'r'''n'' !"~"f5'itTANCE TAX
!\:I._");~:~~StITEfiJENT OF ACCOUNT
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[1: 05
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
REV-1607 EX AFP (03-05)
ROBERT P KLINE
KLINE LAW OFFICE
PO BOX 461
NEW CUMBERLAND
07-03-2006
EISLEY
06-02-2005
21 05-0535
CUMBERLAND
101
AIIount R_l Heel
CLARA
G
PA 17070
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MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
NDTE, To .0..... .- ....... to ..... .......t, ....... tho _. ...tJ.., of ..... foro .... ..... tox _to
CUT ALONG THIS LINE
... RETAIN LOWER PORTION FOR YOUR RECORDS +--
--- INHERITANCE TAX STATEMENT OF ACCOUNT ...
---------------------------------------------------------------------------
REV-1607 EX AFP (03-05)
ESTATE OF EISLEV CLARA 8 FILE NO.21 05-0535 ACH 101 DATE 07-03-2006
THIS STAT...... IS -... TO -.sE Of THE _ STAtus Of THE STATED _ IN THE "'- ESTATE. S_ IEL..
IS A -.. OF THE -IPAL TAX ...., APfLICAT_ Of ALL PATIIEHTs. TIlE _ IAlAM:E, _. IF ......ICAlLE,
A PROJECTED INTEREST FIIURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-03-2006
PRINCIPAL TAX DUE, 11,170.78
PAYMENTS (TAX CREDITS):
BAL
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
--- SUMMARY OF ~Ll 006 PAYMENTS ---
05-15-2006 368.42 101802.36
ANCE OF UNPAID INTEREST/PENALTY AS OF 05-16-2006 TOTAL TAX CREDIT 111170.78
BALANCE OF TAX DUE .00
INTEREST AND PEN. 42.16
IF PAID AFTER THIS DUEl SEE REVERSE TOTAL DUE 42.16
.
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $11
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRll
YOU tlAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. l
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