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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601 n
HARRISBURG PA 17128-b6U 0 R D E 0 0 F F I CE 0 F
REGISTER OF V11 11L L S DATE 11-10-2014
ESTATE OF WERT JOHANNA E
NI
2019 GN 17 Cep ESTATE 1123 DATE OF DEATH 08-15-2013
FILE NUMBER 21 13-0934
C L EE-,� F COUNTY CUMBERLAND
GREENS E OESS-ICA1*1
SORPHAI.,.) ACN 101
STE Cl 01Y811FRI Amount Remitted
555 GET `URG PIKE
MECHANICSBURG PA 17055-5204
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 --10 RETAIN LOWER PORTION FOR YOUR RECORDS 4- -- --- - -- - - --- -
EYiWcii:1733- ----*;; -INHERITANCE -FAX STATEMENT OF ACCOUNT
ESTATE OF:WERT JOHANNA E FILE NO. : 21 13-0934 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: 10-14-2014
PRINCIPAL TAX DUE: 4,593.31_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-3
11-15-2013 CDO18405 229.67 4,832.98
10-22-2014 REFUND .00 469.34-
TOTAL TAX PAYMENT 4,593.31
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.