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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX Drv1s1oN
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 06-23-2014
ESTATE OF BURGETT ANNETTA A
DATE OF DEATH 04-27-2013
FILE NUMBER 21 13-0520
COUNTY CUMBERLAND
MILLER DOUGLAS G ACN 101
60 W POMFRET ST
Amount Remitted
CARLISLE PA 17013-3243
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 C12-13) *e■ INHERITANCE TAX STATEMENT OF ACCOUNT N;*
ESTATE OF:BURGETT ANNETTA A FILE NO. : 21 13-0520 ACN: 101 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: 30,624.71
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) ry
o
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
L 'J fTl
07-26-2013 CD017944 1 ,531 .24 34,000.00 >- r c,7 0
06-03-2014 REFUND .00 4,906.53 n Z �n
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TOTAL TAX PAYMENT 30,624.71
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. , 1�