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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP 112-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 05-12-2014
ESTATE OF HANEY THOMAS R
DATE OF DEATH 06-16-2012
FILE NUMBER 21 12-0797
COUNTY CUMBERLAND
PAMELA E MOSER ACN 13031554
204 PINE ST
Amount Remittetl
STEELTON PA 17113-2347
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 (12-13) ■ INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:HANEY THOMAS R FILE NO. : 21 12-0797 ACN: 13031554 DATE: 05-12-2014
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: 3,425.1;&I
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n o
PAYMENTS (TAX CREDITS) : A 3 rn n rrl
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID a L r-- tV —i
M rrr r rT
04-28-2014 CDO19068 108.98- 3,534.36 :2' <n :z7 b
7C
05-09-2014 WRITEOFF .00 5.62 O p 77 �'' `n
n
� 9
(D
rzo
I rn
P- __Cn O C3
-C Tl
TOTAL TAX PAYMENT 3,425.38
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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