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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUALTAXES INHERITANCE TAX
INHERITANCE TAX DIVISIOrtNN REV-1607 EX AFP (12-13)
HPO ARRISBURG 280601 I7I�r=0601RDED OFFICE OF STATEMENT OF ACCOUNT
REGISTER OF WILLS
c DATE 11-24-2014
Z�il {1Ct► $ t p fl 12 Z6 ESTATE OF GALLAS ELISE
l `JLU DATE OF DEATH 02-12-2014
CLERK OF FILE NUMBER 21 14-0234
WALKER ORPHANI�bB�+���( YRTCOUNTY CUMBERLAND
�1F ACN 101
3810 MtFUgR BE0LAN'') CO., iii
CAMP HILL PA 17011-4345 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
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REV-1607 EX AFP C12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:GALLAS ELISE FILE NO. : 21 14-0234 ACN: 101 DATE: 11-24-2014
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: 11-10-2014
PRINCIPAL TAX DUE: 5,384.25
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-09-2014 CDO19148 269.21 5,200.00
11-10-2014 REFUND .00 84.96-
TOTAL TAX PAYMENT 5,384.25
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. 0