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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX STATEMENT OF ACCOUNT
HARRISBURG URG PA PA 17128-0601
DATE 03-10-2014
ESTATE OF COHICK SARA J
DATE OF DEATH 02-05-2013
FILE NUMBER 21 13-1162
JERRY S COHICK COUNTY CUMBERLAND
ACN 13109392
599 BIG SPRING RD
N EWVILLE PA 17241-9455 Amount Remitted
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 H
REV-1607 EX AFP (12-13) ■�(* INHERITANCE TAX STATEMENT OF ACCOUNT ■;a
ESTATE OF:COHICK SARA J FILE NO. : 21 13-1162 ACN: 13109392 DATE: 03-10-2014
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: 01-21-2014
PRINCIPAL TAX DUE: 38.75
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-19-2014 CDO18778 .30- 39.05
02-28-2014 SBADJUST .00 .04
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TOTAL TAX PAYMENT 38.75
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. \