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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 06-16-2014
ESTATE OF KELLER JOHN W
DATE OF DEATH 06-27-2013
FILE NUMBER 21 13-0903
COUNTY CUMBERLAND
ROGERS ESQ ELYSE E ACN 101
STE 400 Amount Remitted
625 NORTH 12TH STREET
LEMOYNE PA 17043
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
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REV-1607 EX AFP (12-137 ■■■ INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:KELLER JOHN W FILE NO. : 21 13-0903 ACN: 101 DATE: 06-16-2014
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACM 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: 18,755.48
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) ,v
09-18-2013 CDO18159 937.77 18,000.00 c s f�r7
rTl 05-29-2014 REFUND .00 182.29 c a7 0
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TOTAL TAX PAYMENT 18,755.48
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.
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