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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 06-16-2014
ESTATE OF CIGARAUSKAS KATHERINE
DATE OF DEATH 05-10-2013
FILE NUMBER 21 13-0854
COUNTY CUMBERLAND
HELENA C RATCLIFF ACN 14124823
38 SUNFIRE AVE Amount Remitted
CAMP HILL PA 17011-1020
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 x-10 RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-1607 EX AFP (12-13) am* -
* INHERITANCE TAX STATEMENT OF ACCOUNT X;;
ESTATE OF:CIGARAUSKAS KATHERINE FILE NO. : 21 13-0854 ACN: 14124823 DATE: 06-16-2014
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: 05-19-2014
PRINCIPAL TAX DUE: 22.63
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-18-2013 CDO17984 1 . 13 226.36 0
05-28-2014 REFUND .00 204.86-C2 s m
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cm O Z CO
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TOTAL TAX PAYMENT 22.63
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.