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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 REC
HARRISBURG PA 17128-0601 ORDED OFFICE OF
REGISTER OF WILLS DATE 10-14-2014
DEN
?0111 000T 20 Irn 12 Is DATEESTATE OFOF DEATH 06-A02-2013 GLADYS P
FILE NUMBER 21 13-0650
CLER;!� CF COUNTY CUMBERLAND
WALTERS III MUME -ANS' COURT ACN 101
54 E MAIN ST CUUFRI All" -, ", I Amount Remitted
MECHANICSBURG 17�055-3851, "k
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 -— ----- ------ - - -
- -STATEMENT i Ei--i;a Cx f- -AFP (12-iY)-----*;; -fWHNffAfEg A�X fE;Nf OF ACCOUNT
ESTATE OF:DEAN GLADYS P FILE NO. : 21 13-0650 ACN: 101 DATE: 10-14-2014
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: 09-02-2014
PRINCIPAL TAX DUE: 9,924.28_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
08-20-2013 CDO18039 496.21 10,000.00
09-23-2014 REFUND .00 571.93-
TOTAL TAX PAYMENT 9,924.28
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.