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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
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 09-29-2014
ESTATE OF FIGARD PHYLLIS
DATE OF DEATH 07-16-2013
FILE NUMBER 21 14-0791
COUNTY CUMBERLAND
CYNTHIA ROARABAUGH ACN 13148887
773 JACKS CORNER RD Amount Remitted
HOPEWELL PA 16650-7951
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 -gfi � ACCOUNT- - - - I -fWH i i ffA E i TAX Vi;itif 0 0
AFP ((12-13)-
EX
ESTATE OF:FIGARD PHYLLIS FILE NO. : 21 . 14-0791 ACN: 13148887 DATE: 09-29-2014
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: 08-11-2014
PRINCIPAL TAX DUE: 16.54_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT
AMOUNT PAID rn
DATE NUMBER INTEREST/PEN PAID rrl C)
09-15-2014 CDO19680 .18- 16.7 70
09-26-2014 SBADJUST .00 Or3l
rn r1l
to -n
C->
C)
n
TOTAL TAX PAYMENT 16.54
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.
peennsytvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-15)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 09-29-2014
ESTATE OF FIGARD PHYLLIS
DATE OF DEATH 07-16-2013
FILE NUMBER 21 14-0791
COUNTY CUMBERLAND
CYNTHIA ROARABAUGH ACN 13148887
773 JACKS CORNER RD
Amount Remitted
HOPEWELL PA 16650-7951
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—
R
- ---- -- ------ -
-
i EN-1;5f -Cx-AFP (12-13)- - - - I*-; -&HiiffAH 'fA7x STATEMENT OFACCOUNT **
ESTATE OF:FIGARD PHYLLIS FILE NO. : 21 14-0791 ACN: 13148887 DATE: 09-29-2014
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: 08-11-2014
PRINCIPAL TAX DUE: 16.54_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
09-15-2014 CDO19680 .18- 16.72 fv
czz
09-26-2014 SBADJUST .00 .03 (=
C Irn-Z3
"Z I rn C'>
C771
CD
rn
C>
-n
TOTAL TAX PAYMENT 16.54
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.
pennsytvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 09-29-2014
ESTATE OF FIGARD PHYLLIS
DATE OF DEATH 07-16-2013
FILE NUMBER 21 14-0791
COUNTY CUMBERLAND
CYNTHIA ROARABAUGH ACN 13148888
773 JACKS CORNER RD Amount Remitted
HOPEWELL PA 16650-7951
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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 E— ----- -- - -- -- - -
-
iEV--l;if -Cx"AFP lli:iY)- - - - -*;; -fWHiiffATAX A7x STATEMENT OF
ESTATE OF:FIGARD PHYLLIS FILE NO. : 21 14-0791 ACN: 13148888 DATE: 09-29-2014
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: 08-11-2014
PRINCIPAL TAX DUE: 15.08_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
09-15-2014 CDO19680 .16- 15.24
09-26-2014 SBADJUST .00 .03 rU
r-n
C> M C->
C
C, ;,
CO a,
=
M = --j C-7
Dr, rrl rfl
;Z cr)
Cly
'D
M
C=) CO
CD -q
TOTAL TAX PAYMENT 15.08
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.
I/ pennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-15)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 09-29-2014
ESTATE OF FIGARD PHYLLIS
DATE OF DEATH 07-16-2013
FILE NUMBER 21 14-0791
COUNTY CUMBERLAND
CYNTHIA ROARABAUGH ACN 13148888
773 JACKS CORNER RD AmountRemitted
HOPEWELL PA 16650-7951 1
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17.013
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 -— - - - -- - --- - -- - -
ilif -
gfifE; O� ACCOUNT
N E E -ffi�X
i�i--l;if -Cx-iW -cH:i737)- - - X;; WHHHA7
ESTATE OF:FIGARD PHYLLIS FILE NO. : 21 14-0791 ACN: 13148888 DATE: 09-29-2014
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: 08-11-2014
PRINCIPAL TAX DUE: 15.08
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-15-2014 CDO19680 . 16- 15.24
09-26-2014 SBADJUST .00 .03
C=
rri
CO -zr c)
Frl
CD --rj
M
TOTAL TAX PAYMENT 15.08
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.
pennsyLvania
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 09-29-2014
ESTATE OF FIGARD PHYLLIS
, DATE OF DEATH 07-16-2013
FILE NUMBER 21 14-0791
COUNTY CUMBERLAND
CYNTHIA ROARABAUGH ACN 13148889
773 JACKS CORNER RD Amount Remitted
HOPEWELL PA 16650-7951 1
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 WF� 4- ----- - - -- - - - - -
' - YififE;i�f O� C70�if 1I i:1735- - - - - INHERITANCE i f fAEE fA
:
iiV--liif EX
ESTATE OF:FIGARD PHYLLIS FILE NO. : 21 14-0791 ACN: 13148889 DATE: 09-29-2014
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: 08-11-2014
PRINCIPAL TAX DUE: 85.82_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-15-2014 CDO19680 .93- 86.75
09-26-2014 SBADJUST .00 .14 r-,,3
C'> -T3
C= M
C> C->
C�
:z rn M
r— --q
::zj
CSC)
-Tl
ti
C*.,)
ry M
C>
TOTAL TAX PAYMENT 85.82
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.
iyj
IpennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 09-29-2014
ESTATE OF FIGARD PHYLLIS
DATE OF DEATH 07-16-2013
FILE NUMBER 21 14-0791
COUNTY CUMBERLAND
CYNTHIA ROARABAUGH ACN 13148889
773 JACKS CORNER RD Amount Remitted
HOPEWELL PA 16650-7951 1
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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 4-- - -- - --- -- ---- -
' ;ilif -
-f -HiTl O� ACCOUNT *
- - Y)- - - - I*;; YWNHHAH TAX k EN"--1 i i f C X AFP 11 i:i
ESTATE OF:FIGARD PHYLLIS FILE NO. : 21 14-0791 ACN: 13148889 DATE: 09-29-2014
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: 08-11-2014
PRINCIPAL TAX DUE: . 85.82_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
09-15-2014 CDO19680 .93- 86.75
09-26-2014 SBADJUST . 00 . 14
ry
c7 4
rrl
C)
r7l Cn -a
:z, rrT
C- C) C)
C) -rI
-T7
f I (Z-1) Cn C>
TOTAL TAX PAYMENT 85.82
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.