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Tom' 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 09-15-2014
ESTATE OF BROWNNING WANDA L
DATE OF DEATH 03-30-2013
FILE NUMBER 21 13-0603
COUNTY CUMBERLAND
DIANNE CASNER
5 ACN 13120202
25 S 3RD ST
L EMOYNE PA 17043-2005 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 form with your tax payment.
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS
REV-1607 EX AFP C12-135 ■ INHERITANCE TAX STATEMENT OF ACCOUNT ■
ESTATE OF:BROWNNING WANDA L FILE NO. : 21 13-0603 ACN: 13120202 DATE: 09-15-2014
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: 06-13-2014
PRINCIPAL TAX DUE: 3,295.76
PAYMENTS (TAX CREDITS) :
N
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID C o oL rn m
DATE NUMBER INTEREST/PEN PAID C-) M U) @ n
rT, _ o
04-23-2014 CDO19117 . 00 3,295.7%l Q
08-29-2014 CDO19628 30.81- 30.8,,1- >- tV R) fr)
C1
C) 1 Q
' H M
Cl1 Cl) C)
Cil
TOTAL TAX PAYMENT 3,295.76
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.