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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT REV-1607 EX AFP (12-13)
HARRISBURG PA 17128-0601
DATE 09-08-2014
ESTATE OF PETSOCK GEORGE
DATE OF DEATH 04-12-2013
FILE NUMBER 21 13-0524
COUNTY CUMBERLAND
NETTLES BARRY L
ACN 101
APT 8
1112 COLUMBUS AVE 'Amount Remittetl
LEMOYNE PA 17043-1723
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
REV-1607 EX AFP (12-13J - INHERITANCE 7AX STATEMENT OF ACCOUNT N*;
ESTATE OF:PETSOCK GEORGE FILE NO. : 21 13-0524 ACN: 101 DATE: 09-08-2014
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: 08-04-2014
PRINCIPAL TAX DUE: 5,017.26
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
N
O
07-12-2013 CD017875 157.89 3,000.0 CIJ m
01-13-2014 CDO18653 .15- 4,850.E C> � n
08-20-2014 REFUND v
, .
cn :Z m z o
r r H ' m
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a
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,i7 N r fTl
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TOTAL TAX PAYMENT 5,017.26
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. �\