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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 17128.0601
DATE 02-10-2014
ESTATE OF MARGIN ADDA M
DATE OF DEATH 06-17-2008
FILE NUMBER 21 08-0711
COUNTY CUMBERLAND
GALLOWAY DAVID R ACN 401
ATTORNEY AT LAW
Amount Remittetl
54 E. MAIN STREET
MECHANICSBURG PA 17055
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
- - - ' _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ;i-f O " " " " - - - - -- ' - - " "
REV-1607 EX AFP (12-13) ■�e INHERITANCE TAX STATEMENT OF ACCOUNT ■;■
ESTATE OF:MARGIN ADDA M FILE NO. : 21 08-0711 ACN: 401 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: 02-03-2014
PRINCIPAL TAX DUE: 3.671.71
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-19-2013 CDC18428 .00 4,280.63
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TOTAL TAX PAYMENT 4,280.63
BALANCE OF TAX DUE 608.92CR
INTEREST AND PEN. .00
TOTAL DUE 608.92CR
r 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. (� �J
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