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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 COCKLIN ADA G
DATE OF DEATH 07-28-2012
FILE NUMBER 21 13-0388
COUNTY CUMBERLAND
STONE ESQ DAVID H ACN 101
414 BRIDGE ST -- - -
NEW CUMBERLAND PA 17070-1927 Amount Rem3ttetl
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 4-
REV-1607 EX AFP C12-13) A INHERITANCE "fAY STATEMENT OF ACCOUNT Sx■
ESTATE OF:COCKLIN ADA G FILE NO. : 21 13-0388 ACN: 101 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: 01-13-2014
PRINCIPAL TAX DUE: 3,833.67
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-09-2013 CDO18232 .00 3,833.67
01-27-2014 CDO18700 51.56- 51 .56
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TOTAL TAX PAYMENT 3,833.67
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.
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