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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
STATEMENTPO BOX 280601 OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 10-06-2014
ESTATE OF OBRIEN DOLORES T
DATE OF DEATH 07-05-2013
FILE NUMBER 21 13-0798
COUNTY CUMBERLAND
WALTERS III MURREL
ACN 101
54 E MAIN ST Amount Remitted
MECHANICSBURG PA 17055-3851
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 C12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT(*
ESTATE OF:OBRIEN DOLORES T FILE NO. : 21 13-0798 ACN: 101 DATE: 10-06-2014
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: 07-28-2014
PRINCIPAL TAX DUE: 1,269.82
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-12-2013 CDO18137 63. 16 1,200.00
03-25-2014 CDO18932 .00 9.82
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09-22-2014 REFUND .00 3. 16
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TOTAL TAX PAYMENT 1,269.82
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. \