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�7 DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITAN280601 CE TAX DIVISION
PO BOX STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 08-11-2014
ESTATE OF KEET VIRGINIA L
DATE OF DEATH 09-09-2012
FILE NUMBER 21 12-1143
COUNTY CUMBERLAND
SHIELDS III CHARLES E ACN 101
6 CLOUSER RD
Amount Remitted
MECHANICSBURG PA 17055-9751
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 --)I RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1607 EX AFP (12-13) INHERITANCE TAX STATEMENT DF ACCOUNT ■;;
ESTATE OF:KEET VIRGINIA L FILE NO. : 21 12-1143 ACN: 101 DATE: 08-11-2014
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: 07-07-2014
PRINCIPAL TAX DUE: 5,908.71
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID �_—',
DATE NUMBER INTEREST/PEN PAID (-) S)
T
12-06-2012 CDO16888 168.75 3,206.25 O C ;j
03-07-2014 CDO18859 .00 2,533.71
07-22-2014 CD019451 56.30- 56.30
Ti
N
TOTAL TAX PAYMENT 5,908.71
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.