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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISIONPO BOX AT M ENT OF ACCOUNT
HARRIISBURG601 PA 17128-0601 RECORDED O F F M OF
REGISTER, CIF Vl"ILLS DATE 11-10-2014
?L9, 14 \OU 17 H:P1 I IL 2 3 ESTATE OF HOFFMAN RUTH A
DATE OF DEATH 09-28-2013
FILE NUMBER 21 13-1097
CLE—,' SOF COUNTY CUMBERLAND
BANGS ORIPLCHAEL r;Ll1�T ACN 101
429 S 18TH �UM BEr L� ,..,
CAMP HILL U FAmount Remitted
17011=5902r�
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 _�_ _ _ LOWER PORTION FOR YOUR RECORDS _ ---- -
_ _ _ _ _ _ _ _
REV-1607 EX AFP C12-13) RETAIN* * INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:HOFFMAN RUTH A FILE NO. : 21 13-1097 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: 10-20-2014
PRINCIPAL TAX DUE: 8,149.60
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-20-2013 CDO18557 407.48 10,000.00
10-23-2014 REFUND .00 2,257.88-
TOTAL TAX PAYMENT 8,149.60
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. � \