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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-Isar EX AFP <iz•123
INHERITANCE TAX DIVISION
PO BOX 290601 STATEMENT OF ACCOUNT
HARRISBURG PA 1712E-0601
RECORDED OFFICE OF DATE 12-09-2013
REGISTER OF WILLS ESTATE OF EICHORN DARRELL M
DATE OF DEATH 06-13-2012
12M DEC 13 PM 3 24 FILE NUMBER 21 12-0743
SHIELDS III CNA COUNTY CUMBERLAND
6 GLOUSER RD ((;;L EIRK OF ACM 101
MECHANICSBURG ORI3WA>t$8k {§:tRb Amount Remitted
CUMBERLAND-CO., PA
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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 (-
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REV-1607 EX AFP C12-12) ■** INHERITANCE TAX STATEMENT OF ACCOUNT a*■
ESTATE OF:EICHORN DARRELL M FILE NO. . 21 12-0743 ACN: 101 DATE: 12-09-2013
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: 11-25-2013
PRINCIPAL TAX DUE: 15,046.88
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+} AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-}
09-11-2012 CDO16495 495.00 91405.00
06-11-2013 CDO17752 37.98- 5,200 .00
11-25-2013 REFUND .00 15. 14-
TOTAL TAX PAYMENT 15,046.88
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.