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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INH_ER,,,ITALN].ICE TAX REV-1607 EX AFP C12-13)
INHERITANCE TAX DIVISION pC(� j�L1''� MMIi '�-(F� ACCOUNT
PO Sox 280601 RECD ^"°"'
HARRISBURG PA 17128-0601 R REGISTE OF WILLS
REGISTER V ++�� DATE 01-13-2014
li N 21 "M 2 OL ESTATE OF GILKEY SYLVIA B
DATE OF DEATH 10-08-2012
CLERK OF FILE NUMBER 21 13-0254
JOHN D GILKEY ORPHANS COURT COUNTY CUMBERLAND
434 PINE RD CUMBERLAND CO., PA ACN 14500181
MT HOLLY SPGS PA 17065-1815 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 +—
REY-1607 EX AFP (I2-I3) ■*X INHERITANCE TAX STATEMENT OF ACCOUNT xa;
ESTATE OF:GILKEY SYLVIA B FILE NO. : 21 13-0254 ACN: 14500181 DATE: 01-13-2014
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: 01-09-2014
PRINCIPAL TAX DUE: 6.71
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT {+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
01-10-2014 WRITEOFF .00 6.81
TOTAL TAX PAYMENT 6.71
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^ CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.