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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 08-18-2014
ESTATE OF ROSS BETTIE J
DATE OF DEATH 05-29-2013
FILE NUMBER 21 13-0647
COUNTY CUMBERLAND
MILLER PEGGY L ACN 101
4521 ROLO CT
MECHANICSBURG PA 17055-5889 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 farm with your tax payment.
CUT ALONG THIS LINE --I. RETAIN LOWER P_ORTI_ON FOR YOUR RECORDS
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REV-1607 EX AFP (12-13) - INHERITANCE TAX STATEMENT OF ACCOUNT xxx
ESTATE OF:ROSS BETTIE J FILE NO. : 21 13-0647 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: 07-07-2014
PRINCIPAL TAX DUE: 3,574. 00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) i
DATE - NUMBER INTEREST/PEN PAID C-) AMOUNT PAID ry -
08-28-2013 CDO18082 178.70 31500. 0 -L m n ,
07-30-2014 REFUND . 00 104.7�f-� ��- o
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TOTAL TAX PAYMENT 3,574 .00
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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