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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION r STATEMENT O F ACCOUNT
PO BOX 280601 �(�(� � � of iE OF
HARRISBURG PA 171 0
REGISTER, 0 %HILLS
DATE 11-10-2014
201q NOW 17 Fm 1129- ESTATE OF POWELL JAMES 0
DATE OF DEATH 04-02-2013
CLEh" 0,F FILE NUMBER 21 13-0408
COUNTY CUMBERLAND
WEBBER MR$Q,(R;Z'IEHAIZ�D1 L ACN 101
,
126 E dV s, LA"r `%f Amount Remitted
SHIPPENSBURG PA 17257-1326
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
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REV-1607 EX AFP C12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:POWELL JAMES 0 FILE NO. : 21 13-0408 ACN: 101 DATE: 11-10-2014
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: 5,434.91
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-16-2014 CDO19181 .00 5,434.91
10-12-2014 CDO19827 59.72- 59.72
TOTAL TAX PAYMENT 5,434.91
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.
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