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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX APP (12-16)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 780601
HARRISBURG PA 17128-0601
DATE 08-18-2014
ESTATE OF ELLISON VIVIAN E
DATE OF DEATH 06-04-2013
FILE NUMBER 21 13-0935
COUNTY CUMBERLAND
DELUCA ESQ ADAM R ACN 101
61 W LOUTHER ST '---
Amount Remitted
CARLISLE PA 17013-29$7
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
'REGISTER OF WILLS
i 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 4—
REV-16D7 EX AFP I C12-13) * INHERITANCE TAX STATEMENT 4F ACCOUNT
ESTATE OF:ELLISON VIVIAN E FILE NO. c 21 13-0935 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: 06-30-2014
PRINCIPAL TAX DUE: 3,577.97
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID {-}
V
08-30-2013 CD018088 178.90 4,050.00�
07-30-2014 REFUND . 00 650.936= s rn M
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TOTAL TAX PAYMENT 3,577.97
BALANCE OF TAX DUE .00
INTEREST AND PEN. . 00
TOTAL DUE .00
i
* 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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