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, DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12.12)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280607
HARRISBURG PA 17128-0601 RECORDED OFFICE OF
REGISTER OF ,^,(}Lj S DATE o5-2B-2o13
ESTATE OF ADRAGNA LUCREZIA
DATE OF 12-27-2010
1033 fIRY 31 pin ii FILE NUMBERTH 21 11-0243
COUNTY CUMBERLAND
STEVEN W FAHNESTOCK CPACL ERK OF ACN 101
1513 CEDAR CLIFF DRORP CNS� O�rRT Amount Remitted
CAMP HILL qA„1 0;.,1�t'�k32 C N” Fr`
IeUDS Ctt 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 4-
REV-1607 EX AFP C12-12J *xlt INHERITANCE -iAY STATEMENT OF ACCgUNT ■yx
ESTATE OF:ADRAGNA LUCREZIA FILE NO. : 21 11-0243 ACN: 101 DATE: 05-28-2013
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: 12-24-2012
PRINCIPAL TAX DUE: 22,222.03
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT <+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-26-2011 CDO14201 1,052.63 20,000.00
09-26-2012 CDO16594 . 03- 1 ,169.43
02-07-2013 CDO17157 34.97- 34.97
05-15-2013 CU017609 .00 34.97
1 TOTAL TAX PAYMENT 22,257.00
BALANCE OF TAX DUE 34.97CR
INTEREST AND PEN. .00
TOTAL DUE 34.97CR
• 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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