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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PD BOX 280601
HARRISBURG PA 17128-0601
DATE 08-04-2014
ESTATE OF BRUSSESE JR NICK
DATE OF DEATH 07-31-2012
FILE NUMBER 21 12-0911
COUNTY CUMBERLAND
BETH A PALMER ACN 13127312
204 S 16TH ST Amount Remitted
CAMP HILL PA 17011-5507
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:BRUSSESE JR NICK FILE NO. : 21 12-0911 ACN: 13127312 DATE: 08-04-2014
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: 07-18-2014
PRINCIPAL TAX DUE: 36.27
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
O ,
- f
C7 J
CD C _
c
Cn `n CD
CO
INTEREST IS CHARGED THROUGH 08-19-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 36.27
INTEREST AND PEN. 1 .42
TOTAL DUE 37.69
* 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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