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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 08-25-2014
ESTATE OF CEKOVIC ELLEN M
DATE OF DEATH 11-10-2011
FILE NUMBER 21 11-1313
COUNTY 21CUMBERLAND
PETRIE CHARLES E ACN 101
3528 BRISBAN ST - Amount Romltt¢d
HARRISBURG PA 17111-1803 _._......... ..-_
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 4—
R6 -1607 EX AFP C12-13) ■xx INHERITANCE "fAY STATEMENT OF ACCOUNT I(A■
ESTATE OF:CEKOVIC ELLEN M FILE NO. : 21 11-1313 ACN: 101 DATE: 08-25-2614
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: 08-04-2014
PRINCIPAL TAX DUE: 35,268.73
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-02-2012 CDO15540 1,763.44 40,000.00 0
08-06-2014 REFUND . 00 6,494.71- n � M
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c c o
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1, - Iv rn m
Zrn CD 0
Cn F o0
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C) -n 3
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TOTAL TAX PAYMENT 35,268.73
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.