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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX 280601 P P QSTATEMENT OF ACCOUNT
HARRISBURG PA 1�tN- RDED 0 FFICE OF
REEGISTE-'-Z OF WILLS
DATE 10-27-2014
?014 Nov 9 RFI 1-150 ESTATE OF CLOUSE TIFFANY B
DATE OF DEATH 05-20-2012
C LIE' rD 7 FILE NUMBER 21 14-0407
COUNTY CUMBERLAND
CAL ENEO R P 7
ACN 13128753
2075C%TN
Amount Remitted
CARLISLE PA 17015-9303 1
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 4— - - -- - - - - - --- - -
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klFV-_liif EX li i:f�) INHERITANCE k ffA:N
ESTATE OF:CLOUSE TIFFANY B FILE NO. : 21 14-0407 ACN: 13128753 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: 10-06-2014
PRINCIPAL TAX DUE: 13. 13
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID AMOUNT PAID
08-15-2014 CDO19561 .58- 45.70
10-14-2014 REFUND .00 31 .99-
TOTAL TAX PAYMENT 13. 13
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.