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DEPARTMENT OF REVENUE>
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DEV-1607 EX AFP REVENUE
INHERITANCE TAX DIVISION {-{
HPO BX ARRISBURG6PA 17128-0601 RECORDED O F F !CtT 6TE M E N T OF ACCOUNT
REGISTER OF WILLS
DATE 11-17-2014
C�1 NOV p� ESTATE OF FUGLESTAD EVELYN
i UU DATE OF DEATH 10-14-2013
CLERK OF FILE NUMBER 21 13-1168
LINSENBACH ESRPRfANSl CWUR T COUNTY CUMBERLAND
ACN 101
8 N BALTIM ��L� Pt
DILLSBURG �ST PA�17019n1210* 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 _ _ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX P C12-13) * INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:FUGLESTAD EVELYN FILE NO. : 21 13-1168 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: 10-14-2014
PRINCIPAL TAX DUE: 28,467.87
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-12-2014 CDO19288 .00 28,242.86
10-28-2014 CDO19857 .00 225.01
11-07-2014 SBADJUST .00 1 .96
TOTAL TAX PAYMENT 28,467.87
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. \