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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION
STATEMENT PO BOX 280601 OF ACCOUNT
HARRISBURG PA 17128-0601 C
DATE 04-29-2013
ESTATE OF SHOFFNER SHIRLEY A
u 1 DATE OF DEATH 11-11-2012
3 Pi 1 ; FILE NUMBER 21 13-0077
COUNTY CUMBERLAND
HERBERT C SHOFFNER
v i ti ('I
ACN 101
847 HECK HILL RD iA �lS
LEWISBERRY PA 1 3��+1 9 1 1�jG ` Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To 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 _ �
REV-1607 EX AFP 012-12) *** INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:SHOFFNER SHIRLEY A FILE NO. : 21 13-0077 ACN: 101 DATE: 04-29-2013
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: 03-18-2013
PRINCIPAL TAX DUE: 414.77
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-22-2013 CDO17073 20.74 396. 11
04-15-2013 REFUND .00 2. 08-
TOTAL TAX PAYMENT 414.77
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR 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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