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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION 26
PG Box STATEMENT OF ACCOUNT
HARRISBURG URG PA PA 17128-0601
DATE 05-19-2014
ESTATE OF SAUERWINE GRACE M
DATE OF DEATH 03-16-2013
FILE NUMBER 21 13-0351
R COUNTY CUMBERLAND
ADCLIFF DIANE G
ACN 101
3448 TRINDLE RO
CAMP HILL PA 17011 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
REV-1607 EX AFP (12-13) ■;* INHERITANCE TAX STATEMENT OF ACCOUNT N;;
ESTATE OF:SAUERWINE GRACE M FILE NO. : 21 13-0351 ACN: 101 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: 04-14-2014
PRINCIPAL TAX DUE: 22, 195.39
PAYMENTS (TAX CREDITS) :
L%1
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID s m
06-13-2013 CDO17748 1, 109.77 21,806.56 : o
05-01-2014 REFUND . 00 720.94-p n --c J
RU r— 'Tj R7
�) o
a
n 3 C=i
o r- r m
r � r
w u, o
rn
TOTAL TAX PAYMENT 22,195.39
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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