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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX STATEMENT OF ACCOUNT
HARRISBURG URG PA PA 17128-0601
DATE 08-18-2014
ESTATE OF SMITH WALTER J
DATE OF DEATH 09-26-2012
FILE NUMBER 21 12-1104
COUNTY CUMBERLAND
MATEYA MARK A
ACN 101
55 W CHURCH AVE
CARLISLE PA 17013-3202 Amount Remitted
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
R -1607 EX AFP (12-13) ■ INHERITANCE TAX STATEMENT OF ACCOUNT xxx
EV
ESTATE OF:SMITH WALTER J FILE NO. : 21 12-1104 ACN: 101 DATE: 08-18-2014
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: 08-26-2013
PRINCIPAL TAX DUE: 27,494. 19
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-26-2012 CDO16961 1,234.32 23,452. 00
05-31-2013 CDO17692 .00 - 1,688.27 ,v
07-11-2013 CDO17862 1 .38- 1 ,659.6(Q 0 rn
07--28-2014 REFUND . 00 538.62 C�' In C)
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TOTAL TAX PAYMENT 27,494.9
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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