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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX APP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 05-19-2014
ESTATE OF MARTIN J R
DATE OF DEATH 06-24-2013
FILE NUMBER 21 13-0776
COUNTY CUMBERLAND
MARTIN JR EXEC VERNON M ACN 101
674 WILLOW WAY Amount Remitted
MECHANICSBURG PA 17055-8427
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_—
REV^1607 _EX_AP_ _C_2 _ _INHER _TAC _TAX STAT_EMNT _OF_ACONT _ __ _ ____ _ _ _ ___
ESTATE OF:MARTIN J R FILE NO. : 21 13-0776 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: 27,390.26
PAYMENTS (TAX CREDITS) : o
s rn
PAYMENT RECEIPT DISCOUNT (+) w
AMOUNT PAID ct+ O
DATE NUMBER INTEREST/PEN PAID C-)
09-23-2013 CDO18175 1,369.51 35,000.00 r-,')
05-01-2014 REFUND .00 8,979.251-' m W -,I o
7S C3
-q T
r- m
b c.) o
a) n
TOTAL TAX PAYMENT 27,390.26
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. \��\