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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 05-27-2014
ESTATE OF SHOPE MARK A
DATE OF DEATH 01-24-2013
FILE NUMBER 21 13-0157
COUNTY CUMBERLAND
WALTERS III MURREL R ACN 101
54 E MAIN ST
MECHANICSBURG PA 17055-3851 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 C12-13) ■ INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:SHOPE MARK A FILE NO. : 21 13-0157 ACN: 101 DATE: 05-27-2014
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: 03-17-2014
PRINCIPAL TAX DUE: 1,724.25
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) ry
04-24-2013 CDO17488 86.21 1,649.20 s a m
10-24-2013 CD018302 .DO 23.62 m ZB ) p
05-08-2014 REFUND . 00 34.78
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TOTAL TAX PAYMENT 1 ,724.25
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. \