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E 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 17REWDED OFFICE OF
REGISTE' (
'F WILLS DATE 10-27-2014
17
ESTATE OF PENC DAGMAR D
2014 NIO
DATE OF DEATH 08-24-2013
U 9 RFI -1 L`
FILE NUMBER 21 13-0940
CLE:l COUNTY CUMBERLAND
PENC ORPHAj4S,D,AVID__ ACN 101
52 R� D RI I ,
,�GE RD'_ Amount Remitted
Ni G 17055-9200
MECH PA
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 fEA&W b� ACCOUNT **7
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ESTATE OF:PENC DAGMAR D FILE NO. : 21 13-0940 ACN: 101 DATE: 10-27-2014
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: 7,122.37
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
11-13-2013 CDO18396 356.12 7,334.53
10-06-2014 REFUND .00 568.28-
TOTAL TAX PAYMENT 7,122.37
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.