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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
HARRISBURG PA 17128-0601
DATE 05-27-2014
ESTATE OF ESHLEMAN MACK F
DATE OF DEATH 05-14-2013
FILE NUMBER 21 14-0401
COUNTY CUMBERLAND
SYDNEY MINCHIN ACN 13127886
301 PENNSYLVANIA AVE
Amount Remitted
CAMP HILL PA 17011-5439
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 F
" - - - - " - - - - " - - - " ' - - - " - - - " _ - - - - ' - - " _ _ " '
REV-1607 EX AFP (12-13) * INHERITANCE TAX STATEMENT OF ACCOUNT *-N;
ESTATE OF:ESHLEMAN MACK F FILE NO. : 21 14-0401 ACN: 13127886 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: 04-14-2014
PRINCIPAL TAX DUE: 96. 17
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-13-2014 CDO19154 .58- 96.75
05-23-2014 SBADJUST , 00 , 11 C o rn
rrl C-)
m o 2- o
:Z
r ( cr
r.1 W M M
z ) ;-I o :70 t=3
(Z iC O
n O
O l :�E *1
N M
W (n o
co _.
TOTAL TAX PAYMENT 96. 17
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. `^
\\
pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
PO BOOX X 2NCE
INxB rpx DDIVISION STATEMENT OF ACCOUNT
HARRISBURG URG PA Pp 17128-0601
DATE 05-27-2014
ESTATE OF ESHLEMAN MACK F
DATE OF DEATH 05-14-2013
FILE NUMBER 21 14-0401
COUNTY CUMBERLAND
SYDNEY MINCHIN
ACN 13127887
301 PENNSYLVANIA AVE
CAMP HILL PA 17011-5439 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 F
- _ " ' _ - - - - - " - - - - " ' - - - I -jW - - " - - - - - ' - - - - " ' - - - - - _ " - - - - "
REV-1607 EX AFP (12-13) * INHERITANCE TAX STATEMENT OF ACCOUNT ■**
ESTATE OF:ESHLEMAN MACK F FILE NO. : 21 14-0401 ACN: 13127887 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: 04-14-2014
PRINCIPAL TAX DUE: 59. 17
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-13-2014 CDO19155 .36- 59.53 o A
05-23-2014 SBADJUST .00 .07C s (n m
�_ c7 p
r (.D j- , rn
r— rn CD p
(Z rl L, :L
TT1
DF-+ .i C)
N r- m
D C_.) N
co
TOTAL TAX PAYMENT 59. 17
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.
pennsytvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT REV-1607 EX AFP CIZ-13)
PO BOX 288601
HARRISBURG PA 17128-6601
DATE 05-27-2014
ESTATE OF ESHLEMAN MACK F
DATE OF DEATH 05-14-2013
FILE NUMBER 21 14-0401
COUNTY CUMBERLAND
SYDNEY MINCHIN ACN 13127886
301 PENNSYLVANIA AVE
CAMP HILL PA 17011-5439 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 ---1 RETAIN LOWER PORTION FOR YOUR RECORDS EEC
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP C12-13J �*� INHERITANCE TAX STATEMENT OF ACCOUNT �*�
ESTATE OF:ESHLEMAN MACK F FILE NO. : 21 14-0401 ACN: 13127886 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: 04-14-2014
PRINCIPAL TAX DUE: 96.17
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
r•.s
05-13-2014 CDO19154 .58- 96.75 o rrn
05-23-2014 SBADJUST .00 . 11 = G-3 b
73 r CD
M
p O l? _rt -TI
`TI
—+ — C->
r- m
I> r
TOTAL TAX PAYMENT 96.17
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. `
pennsytvania
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 ESHLEMAN MACK F
DATE OF DEATH 05-14-2013
FILE NUMBER 21 14-0401
SYDNEY MZNCNIN COUNTY CUMBERLAND
ACN 13127887
301 PENNSYLVANIA AVE -- -
Amount Remitted
CAMP HILL PA 17011-5439
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 E-
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP (12-13) * INHERITANCE TAX STATEMENT OF ACCOUNT *
ESTATE OF:ESHLEMAN MACK F FILE NO. : 21 14-0401 ACN: 13127887 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: 04-14-2014
PRINCIPAL TAX DUE: 59.17
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID ry
DATE NUMBER INTEREST/PEN PAID C-) c
05-13-2014 CDO19155 .36- 59.53 ..c m
05-23-2014 SBADJUST .00 .07 ED K G
M -
�
M
r- M CZ) M C*S
C)
(7 C C ) —p -�-y -h
G'7 -rI .,E "I
C7 w...i e C7
t 7'tY ITT
^,J
- TOTAL TAX PAYMENT 59.17
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.