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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION REC O P$ ff FIT E�F ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601 REGIS
f{ U tER OF WILLS DATE 09-02-2014
Zply eS LP �j ESTATE OF BURGOON JOHN R
9 P(y 3 DATE OF DEATH 06-15-2013
FILE NUMBER 21 13-0678
CLEF; ( OF COUNTY CUMBERLAND
HALBRUNER ESQ MARK ORNIQNS' COURT ACN 101
2109 MARKET ST CUMBE'RLAI'10 ("Q PA Amount Remitted
CAMP HILL PA 17011-4723
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 F
REV-1607 EX AFP (12-13) ■- - INHERITANCE TAX STATEMENT OF ACCOUNT *■
ESTATE OF:BURGOON JOHN R FILE NO. : 21 13-0678 ACN: 101 DATE: 09-02-2014
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: 07-21-2014
PRINCIPAL TAX DUE: 2,837. 11
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-09-2013 CDO18138 141 .86 3, 100.00
08-13-2014 REFUND . 00 404.75-
TOTAL TAX PAYMENT 2,837.11
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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