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DEPARTMENT OF REVENUE
BUREAU OF ZMDIVSDUAL TAXES INHERITANCE TAX REV-1607 EX APP (12-13)
INHERITANCE TAX DIVISION STATENENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128.0601
DATE 06-23-2014
ESTATE OF BLANK NORMA
DATE OF DEATH 03-06-2010
FILE NUMBER 21 11-1283
COUNTY CUMBERLAND
GARY F BLANK ACN 10171337
7650 BUTTERSCOTCH CIRCL
E I Amount Remitted
LAS VEGAS NV 89131
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-2607 EX AFP C12-13) ��� INHERITANCE TAX STATEMENT OF ACCgUNT ���
ESTATE OF:BLANK NORMA FILE NO. : 21 11-1283 ACN: 10171337 DATE: 06-23-2014
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: 05-12-2014
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+} AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-}
11-01-2013 CDO18359 .00 88.41 �a
11-01-2013 CDO18558 .00 26.52 c �} s n C.>
06-04-2014 REFUND .00 114.93-� CD
r- rl C:D
�.
r- n ITT
o Cn o
TOTAL TAX PAYMENT .00
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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