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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX APP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 02-10-2014
ESTATE OF HENRY WILLIAM D
DATE OF DEATH 04-06-2013
FILE NUMBER 21 13-0452
COUNTY CUMBERLAND
GRIFFIE BRADLEY L ACN 101
200 N HANOVER ST
Amount Remittetl
CARLISLE PA 17013-2423
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
REV-1607 EX AFP (12-13) ANCE%X3F INHERIT TAX STATEMENT OF ACCOUNT N;;
ESTATE OF:HENRY WILLIAM D FILE NO. : 21 13-0452 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: 01-06-2014
PRINCIPAL TAX DUE: 22,892.69
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-02-2013 CDO17828 1,144.63 22,500.00 n
01-22-2014 REFUND .00 751.94- -71 C-'"'
TOTAL TAX PAYMENT 22,892.69
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.