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DEPARTMENT OF REVENUE
REY-1607 EX AFP (12 -I1)
DATE 11-13-2012
ESTATE OF EPPLEY ARLENE A
DATE OF DEATH 07-29-2011
FILE NUMBER 21 11-0927
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
NOTE: Tp 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 _~
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REV-1607 EX AFP (12-11) *~~ INHERITANCE TAX STATEMENT OF ACCOUNT ^*~ -~""""
ESTATE OF:EPPLEY ARLENE A FILE N0.: 21 11-0927 ACN: 101 DATE: 11-13-2012
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: 10-01-2012
PRINCIPAL TAX DUE: -_ ___
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
10-24-2011 CD015104 698.42 14,000.00
10-25-2012 REFUND 00
. 730.04-
TOTAL TAX PAYMENT 13,968.38
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
• IF PAID AFTER THIS DATE, SEE REVERSE SIDE FDR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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