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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-160] EX APP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 260601
HARRISBURG PA 17128-0601
DATE 04-21-2014
ESTATE OF RESETAR ROSEMARY A
DATE OF DEATH 03-19-2013
FILE NUMBER 21 13-0358
BRINSER GERALD J COUNTY CUMBERLAND
ACN 101
6 E MAIN ST
PO BOX 323 Amount Remitted
PALMYRA PA 17078-0323
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 C12-13) ■ ■ INHERITANCE fAX STATEMENT OF ACCOUNT ■
ESTATE OF:RESETAR ROSEMARY A FILE NO. : 21 13-0358 ACN: 101 DATE: 04-21-2014
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: 03-17-2014
PRINCIPAL TAX DUE: 22,887.91
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) y-
N
06-17-2013 CDO17769 1 ,144.40 21,850.00 C s m
04-03-2014 REFUND .DO 106.49-� tr7 n
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TOTAL TAX PAYMENT 22,887.91
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. \