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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION,. T6PENT OF ACCOUNT
PO BOX 280601 RECORDED OF
HARRISBURG PA 17128-0601
REGISTER OF WILLS DATE 10-14-2014
ESTATE OF HAIR CHLOE M
?Blq OCT 20 IM 12 16 DATE OF DEATH 09-13-2013
FILE NUMBER 21 13-1166
CLLF,'' OF COUNTY CUMBERLAND
SAIDIS 0 R9*PRfT4S' (COURT ACN 101
26 W HIGH STC UMBERLAND CO PA Amount Remitted
CARLISLE PA 17013-2022
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
iii--I607 EXAFP (12-13)- - - - -*;;-ilk-H i i ffA7NE- -fAY gfCfEAi�f 70�-ift-ObAf - - - - - - - - - - - - - -
ESTATE OF:HAIR CHLOE M FILE NO. : 21 13-1166 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: 09-29-2014
PRINCIPAL TAX DUE: 1,771.98_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-11-2013 CDO18516 88.60 1,750.00
09-29-2014 REFUND .00 66.62-
TOTAL TAX PAYMENT 1,771.98
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.