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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX T/
T E M E N T OF ACCOUNT
HARRISBURG PA 17128-0 CORDED OFrICC
REGIS T"k f)„ V!IL S DATE 11-17-2014
u �� G� ESTATE OF FREELAND AGNES L
20 ��u
u M DATE OF DEATH 08-06-2013
FILE NUMBER 21 13-0878
CLERK' 01� COUNTY CUMBERLAND
ESTHER ORglZ. WFORD r,;'" ` ACN 13504150
310 E MA BJb��`rE�EE�T�
MECHANIC BURG�� 10
PA-17055-4263 Amount Remitted
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 E-
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REV-1607 EX AFP (12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:FREELAND AGNES L FILE NO. : 21 13-0878 ACN: 13504150 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: 11-14-2014
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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