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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 KOHLER JOAN M
DATE OF DEATH 09-28-2012
FILE NUMBER 21 13-0982
COUNTY CUMBERLAND
DEBRA A ANDREE ACN 12155857
435 DELANCEY CT
Amount Remitted
MECHANICSBURG PA 17055-5454
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 (12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:KOHLER JOAN M FILE NO. : 21 13-0982 ACN: 12155857 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: 12-06-2013
PRINCIPAL TAX DUE: 22.90
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) ry
o �
09-27-2013 CDO18186 .02- 22.92 n s n rn
06-13-2014 SBADJUST .00 . 15 c �_ o
71 Z G7 S
m
_, w a o
a o
c o n -n
., C.
;W r m
s (n o
n co n
TOTAL TAX PAYMENT 22.90
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. `\rn\YVn�
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