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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT O F ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 06-09-2014
ESTATE OF FREEDMAN SALLY P
DATE OF DEATH 03-20-2011
FILE NUMBER 99 14-0182`-13—�}'RZ
COUNTY NON-RESIDENT
BANGS MICHAEL L ACN 101
429 S 18TH ST Amount Remitted
CAMP HILL PA 17011-5902
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
DEPARTMENT OF REVENUE
DEPT 280601
HARRISBURG PA 17128-0601
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 H
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REV-1607 EX AFP (12-13) x■■ INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:FREEDMAN SALLY P FILE NO. : 99 14-0182 ACN: 101 DATE: 06-09-2014
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: 04-28-2014
PRINCIPAL TAX DUE: 29,968.88
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-06-2014 NRO17807 .00 29,968.88
05-05-2014 NRO18115 1 ,914.35- 1 ,914.35 _c
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TOTAL TAX PAYMENT 29,968.88
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.