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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFT (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 07-14-2014
ESTATE OF SCHARDIN HELEN
DATE OF DEATH 05-23-2013
FILE NUMBER 21 13-0751
COUNTY CUMBERLAND
MOYA AMY M ACN 101
5011 LOCUST LN Amount Remitted
HARRISBURG PA 17109-4522
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 C12-13) ** INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:SCHARDIN HELEN FILE NO. : 21 13-0751 ACN: 101 DATE: 07-14-2014
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: 06-30-2014
PRINCIPAL TAX DUE: 997.97
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
1
08-19-2013 CDO18043 49.90 950.00
06-30-2014 REFUND .00 1.93- p L C'j
M - (I>117;
C/5
�' N n-i m
r)
D CV CIO
TOTAL TAX PAYMENT 997.97
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.