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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 1712E-06Q1" RECORDED OFFICE OF
REGIS rR 0'j VilI L DATE 10-20-2014
7{�tju 1 ESTATE OF BRIGGS RUBY E
LUiI UNT 2'i7 FM
112 43 DATE OF DEATH 06-20-2013
FILE NUMBER 21 13-0777
cc((��� �= COUNTY CUMBERLAND
TILEY /�S EPQN ;D �; , ACN 101
5 S HANOVER SIO R N t N S' """" '
k701'3f-33.07•'a+ Amount Remitted
CARLISLE CiUMBPRL1
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 CC
ON FOR YOUR RECORDS _ F_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP C12-13) *** INHERITANCE TAX STATEMENT OF AOUNT * *
ESTATE OF:BRIGGS RUBY E FILE NO. : 21 13-0777 ACN: 101 DATE: 10-20-2014
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: 09-22-2014
PRINCIPAL TAX DUE: 61,538.70
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-17-2013 CDO18154 3,076.94 60,196.66
10-01-2014 REFUND .00 1,734.90-
TOTAL TAX PAYMENT 61,538.70
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.