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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP C12-13)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 08-04-2014
ESTATE OF HEISE LOIS M
DATE OF DEATH 04-20-2013
FILE NUMBER 21 13-0523
COUNTY CUMBERLAND
BRINSER GERALD J ACN 101
6 E MAIN ST
Amount Remitted
PO BOX 323
PALMYRA PA 17078-1710
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) *x INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:HEISE LOIS M FILE NO. : 21 13-0523 ACN: 101 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: 06-30-2014
PRINCIPAL TAX DUE: 47,270. 04
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
*x* SUMMARY OF ALL 005 PAYMENTS «;
07-11-2014 2,105.26 .00 O = JL�-
07-11-2014 10.48- 45,175.26 C�_ rte'' T
>a m c?
- ( Cl) a
O s
D Cn
CD
TOTAL TAX PAYMENT 47,270.04
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.