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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1697 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 09-15-2014
ESTATE OF BRENNEMAN KAY I
DATE OF DEATH 09-16-2013
FILE NUMBER 21 13-1023
COUNTY CUMBERLAND
BRENNEMAN ESQ KEITH 0
ACN LO1
44 W MAIN ST
PO BOX 318 Amount Remitted
MECHANICSBURG PA 17055-6249
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
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REV-1607 EX AFP (12-13) � INHERITANCE fAX STATEMENT OF ACCOUNT *s*
ESTATE OF:BRENNEMAN KAY I FILE NO. : 21 13-1023 ACN: 101 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: 06-16-2014
PRINCIPAL TAX DUE: 1 ,360 .41
.v
PAYMENTS (TAX CREDITS) : c s m
o m
PAYMENT RECEIPT DISCOUNT (+) p m) _q q
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID rn
02-18-2014 CDO18766 .00 1,226.45_ s � ) rn
07-01-2014 CDO19372 . 16- 134.20- U q v
7 )
'+1 -r1
111
[Jl N O
r CJ"1
TOTAL TAX PAYMENT 1 ,360.49
BALANCE OF TAX DUE . 08CR
INTEREST AND PEN. . 00
TOTAL DUE
.08CR
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.