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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1687 EX AFP (12-13)
INHERITANCE TAX D1via1DN
PO BOX OX 2886806 82 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0681
DATE 04-14-2014
ESTATE OF MIXELL DOROTHY M
DATE OF DEATH 09-02-2012
FILE NUMBER 21 12-1273
GRIFFIE BRADLEY L COUNTY CUMBERLAND
ACN 101
200 N HANOVER ST
Amount Remitted
CARLISLE PA 17013-2423 _
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-
4
_EX_AP _ _2_13)_ _ _ __��� _I_N_HE _TA_NC _TA_X_ TATEMNT _O ACC_ONT _ _*_m _ _ _ _ _ _ _ _ _ _ _ _ _ _
ESTATE OF:MIXELL DOROTHY M FILE NO. ; 21 12-1273 ACN: 101 DATE: 04-14-2014
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: 03-14-2014
PRINCIPAL TAX DUE: 1,072.83
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-) ' ry
04-03-2014 CDO18972 26.66- 1,099.49 -° rrt
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04-11-2014 SBADJUST .00 .17 ^D O
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TOTAL TAX PAYMENT 1,072.83
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. 0