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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 04-21-2014
ESTATE OF MANGUM HELEN J
DATE OF DEATH 07-15-2013
FILE NUMBER 21 13-1084
COUNTY CUMBERLAND
MURPHY R T ACN 101
STE 306
Amount Remitted
14 N MAIN ST
CHAMBERSBURG PA 17201-1814
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 F
REV-1607 EX AFP (12-13) ■ ■ INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:MANGUM HELEN J FILE NO. : 21 13-1084 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: 03-24-2014
PRINCIPAL TAX DUE: 4,712.63
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID ry �'
DATE NUMBER INTEREST/PEN PAID (-) o
10-09-2013 CDO18230 136.37 2,591 . 00 c> m Cam'
04-03-2014 CDO18978 .00 1 ,985.26 m -v C>
M o
M
t— tTl CJl n': M
H� r M
r
(V (n T
Clo TOTAL TAX PAYMENT I 4,712.63
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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