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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
PD BOX 280601
HARRISBURG PA 17128.0601
DATE 09-15-2014
ESTATE OF ROGERS KIM L
DATE OF DEATH 02-21-2014
FILE NUMBER 21 14-0184
COUNTY CUMBERLAND
SALLY I SEGAL ACN 14503453
APT 301 Amount Remitted
3865 LONE PINE RD
W BLOOMFIELD MI 48323-2930 _
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
_ _ _ _ _ _ _ _ _ _ _ _ _ " _ _ _ _ _ - _ _ _ _ . _ _ . _ _ _ _ _ - _ _ - _ _ _ _ _ _ _
REY-1607 EX AFP C12-13) ■�(* INHERITANCE TAX STATEMENT OF ACCOUNT ■]E*
ESTATE OF:ROGERS KIM L FILE NO. : 21 14-0184 ACN: 14503453 DATE: 09-15-2014
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACH 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: 3,181 .22
PAYMENTS (TAX CREDITS) :
N
CY
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID tTI
DATE NUMBER INTERESTJPEN PAID C-} J) ur"y
C}
09-02-2014 CDO19627 -00 3,181.22
C7
-Tt
C`
� Cn N C!
TOTAL TAX PAYMENT 3,181.22
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. \