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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12.13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17129-0601
DATE 02 10-2014
ESTATE OF SARKA MILDRED D
DATE OF DEATH 11-29-2012
FILE NUMBER 21 13-1345
COUNTY CUMBERLAND
LEE W LARKA ACN 13103064
104 FLAMINGO DR — Amount Remitted
MECHANICSBURG PA 17055-5775
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—
____ __ --I______ _ ______ _____.._'--- _._._- _ _ _ _ . . _ . . _ _ _ . _ . . _ . _ _ _ _ . _ . _ _ _ . .
REV-1607 EX AFP 2 13J x�� INHERITANCE TAX STATEMENT OF ACCOUNT axe
ESTATE OF:SARKA MILDRED D FILE NO. : 21 13-1345 ACN: 13103064 DATE: 02-10-2014
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: 12-16-2013
PRINCIPAL TAX DUE:- - 171 .38
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-24-2014 CDO18697 .00 171.38
02-07-2014 SBADJUST .00 2.08
TOTAL TAX PAYMENT 171.38
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- 1�n
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pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
1N»ERIT TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 2806 2E06P1
HARRISBURG FA 77128.0601
DATE 02-10-2014
ESTATE OF SARKA MILDRED D
DATE OF DEATH 11-29-2012
FILE NUMBER 21 13-1345
COUNTY CUMBERLAND
LEE W LARKA - ACN 13103064
104 FLAMINGO DR
MECHANICSBURG PA 17055-5775 Amount Remitkad
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 —i RETAIN LOWER PORTION FOR YOUR RECORDS 4—
_ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.. _ . . - _ _ . . . _ . . . _ _ _ . . . _ . . _ _ . . _ _ . . _ _ _ - _ . . _. . . _ _ - - - - - - . _
REV-1607 EX AFP (12-13J a** INHERITANCE TAX STATEMENT OF ACCOUNT XM1E
ESTATE OF:SARKA MILDRED D FILE NO. : 21 13-1345 ACN: 13103064 DATE: 02-10-2014
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: 12-16-2013
PRINCIPAL TAX DUE: 171 .38
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) �-,-:
01-24-2014 CDO1$697 .00 171.38
02-07-2014 SBADJUST .00 2.08
1.• .. n
D �
TOTAL TAX PAYMENT 171.38
BALANCE OF TAX DUE .00
INTEREST AND PEN. .DO
TOTAL DUE
.00
+ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.