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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1691 EX AFP (12.13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280691
HARRISBURG PA 17128-0601
DATE 02-10-2014
ESTATE OF TOOMEY KENNETH C
DATE OF DEATH 12-21-2012
FILE NUMBER 21 13-0511
COUNTY CUMBERLAND
BRINER CHERYL L ACN 101
410 LANSVALE ST
Amount Remittetl
MARYSVILLE PA 17053-1217
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 —10 RETAIN LOWER PORTION FOR YOUR RECORDS 4-
REV^1607 EX AFP (12-13) ■ ■ INHERITANCE TAX STATEMENT OF ACCOUNT ■ ■
ESTATE OF:TOOMEY KENNETH C FILE NO. : 21 13-0511 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: 6,653.64
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+> AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-09-2013 CDO18257 .00 6,653.64
01-21-2014 CDO18672 9.82- 9.82 rJ
'ST
911u,:
b� _r
�- Tl
N
TOTAL TAX PAYMENT 6,653.64
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.