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i DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES _ INHERITANCE TAX
INHERITANCE TAX DIVISIO c��++/� r n E M E N T OF ACCOUNT REV-1607 EX AFP (12-13)
PO BOX 280601 NREVORDED OF f ivif
HARRISBURG PA 17128-0601 -�•�^�} VJJILLS
REGISTrp.
DATE 11-17-2014
Znjlj NH 29 �� 1 12 ESTATE OF SHEAFFER GAYLE K
DATE OF DEATH 05-06-2013
CI +r FILE NUMBER 21 13-0587
FLOWER ORI' i n e,'C'� G( `�r�T COUNTY CUMBERLAND
T OMAS E - ACN 101
10 W HIGH � MBS �E ." {
Amount Remitted
CARLISLE PA 17013-2922
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—
REV-1607 EX AFP C12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SHEAFFER GAYLE K FILE NO. : 21 13-0587 ACN: 101 DATE: 11-17-2014
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: 08-22-2014
PRINCIPAL TAX DUE: 10,835.00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-21-2014 CDO18675 .00 51000.00
10-31-2014 CDO19866 127.27- 5,962.27
11-07-2014 SBADJUST .00 .48
TOTAL TAX PAYMENT 10,835.00
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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