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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
PD BOX 280601
HARRISBURG PA 17128-0601
DATE 02-10-2014
ESTATE OF DEARDORFF GLORIA M
DATE OF DEATH 06-09-2013
FILE NUMBER 21 13-0701
COUNTY CUMBERLAND
SHEELY ESQ ANDREW C ACN 101
127 S MARKET ST
Amount Remitted
PO BOX 95
MECHANICSBURG PA 17055-6328 - -__
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—
R6 -1607 EX AFP C12-13) x;X INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:DEARDORFF GLORIA M FILE NO. : 21 13-0701 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: 8,749.26
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-16-2013 CDO18031 437.46 91350.00
01-22-2014 REFUND .00 11038.20- ) C-'
C: xt
fV C J
T j
V J -
TOTAL TAX PAYMENT 8,749.26
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.