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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
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 08-11-2014
ESTATE OF BLACK JOYCE K
DATE OF DEATH 11-07-2013
FILE NUMBER 21 13-1253
COUNTY CUMBERLAND
JOHN L BLACK ACN 13169832
760 E CATHERINE ST
Amount Remittetl
CHAMBERSBURG PA 17201-2704
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 (12-13) ■;r INHERITANCE TAX STATEMENT OF ACCOUNT ■;■
ESTATE OF:BLACK JOYCE K FILE NO. : 21 13-1253 ACN: 13169832 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: 03-03-2014
PRINCIPAL TAX DUE: 11 .86
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-18-2014 CDO19441 .00 11 .86
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TOTAL TAX PAYMENT 11 .86
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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