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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX RFV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 2BU601
HARRISBURG PA 17128.0601
DATE 03-17-2014
ESTATE OF HOWARD FRANK W
DATE OF DEATH 04-19-2012
FILE NUMBER 21 12-0556
COUNTY CUMBERLAND
ANDES SAMUEL L ACN 101
525 N 12TH ST - Amount Remitted
LEMOYNE PA 17043-1245
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 rl RETAIN LOWER PORTION FOR YOUR RECORDS E—
REV-1607 EX AFP C12-13) *r INHERITANCE TAX STATEMENT OF ACCOUNT * *
ESTATE OF:HOWARD FRANK W FILE N0. - 21 12-0556 ACN: 101 DATE: 03-17-2014
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: 01-31-2014
PRINCIPAL TAX DUE: - 20,966. 10
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
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06-28-2012 CDO16193 842.11 16,000.0 "-c m
12-19-2012 CD616939 .00 5,343.09G 47 p
02-25-2014 REFUND .00 1,219.1
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TOTAL TAX PAYMENT 20,966.10
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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