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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE Tax Drv1s1oN
PO BOX STATEMENT OF ACCOUNT
HARRISBURG URG PA PA 17128-6607
DATE 05-19-2014
ESTATE OF BLANK NORMA
DATE OF DEATH 03-06-2010
FILE NUMBER 21 11-1283
COUNTY CUMBERLAND
GARY F BLANK ACN 10171337
7650 BUTTERSCOTCH CIRCL Amount Remitted
E _:„,.—
LAS VEGAS NV 89131
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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—
. _ .__.._ _ ______ __________ _ _ ___ ___ __ _ _ ___'-_'__.._____ . . _ ___ _ _.__ ._ .-_ . . _ - _ __ .
REV-1607 EX AFP C12-13) �*p INHERITANCE TAX STATEMENT OF ACCOUNT ■��
ESTATE OF:BLANK NORMA FILE NO. : 21 I1-1283 ACN: 10171337 DATE: 05-19-2014
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: 05-12-2014
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+3 AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-01-2013 CDO18359 .00 88.41 "
11-01-2013 CDO18358 .00 26.52°,. ;X3`rn `s
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TOTAL TAX PAYMENT 114.93
BALANCE OF TAX DUE 114.93CR
INTEREST AND PEN. . 00
TOTAL DUE 114.93CR
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. `�