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pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 260601
HARRISBURG PA 17128-0601
DATE 07-21-2014
ESTATE OF HARTMAN EVA R
DATE OF DEATH 07-21-2013
FILE NUMBER 21 13-0842
COUNTY CUMBERLAND
ETZWEILER EARL R ACN 101
105 N FRONT ST
Amount Remitted
HARRISBURG PA 17101-1483
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 4--
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REV-1607 EX AFP (12-13J ��■ INHERITAN- CE TAX STATEMENT OF ACCOUNT
ESTATE OF:HARTMAN EVA R FILE NO. : 21 13-0842 ACN: 101 DATE: 07-21-2014
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: 03-03-2014
PRINCIPAL TAX DUE: 8,892.52
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-16-2013 CDO18271 444.63 8,850. 00
07-02-2014 REFUND . 00 402. 11- r',
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TOTAL TAX PAYMENT 8,892.52
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
x 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.