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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TA}C
REV-1607 IX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17228.0601
DATE 07-21-2014
ESTATE OF ROSENBERRY RICK E
DATE OF DEATH 06-17-2012
FILE NUMBER 21 14-0156
COUNTY CUMBERLAND
WEIGLE ESgUI JERRY p
ACM 101
126 E KING ST
Amount Remitted
SHIPPENSBURG PA 17257-1326 —--
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
_ ____ _ ________ _ _ ' __'___ _ _ �- N-HH ff___-_7 - f)CfE; " O' " ' -" ____ ____ _ _ _ __
REV-1607 EX AFP C12-13) xE�( INHERITANCE TAX STATEMENT OF ACCOUNT **�
ESTATE OF:ROSENBERRY RICK E FILE NO. : 21 14-0156 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: 06-23-2014
PRINCIPAL TAX DUE: 482.26
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
5
02-19-2014 CD018788 no 482.26
07-05-2014 CDO1939D 13.41- 13.41 0 i All
7f co
0(-r.. a
Cn
TOTAL TAX PAYMENT 482.26
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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