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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE A/ GDO(RS91 D O F FIC E OF"
PO BOX 2806 a.vv STATEMENT OF ACCOUNT REV-1607 EX AFP (12-13)
HARRISBURG PAp1T@j—S6PI7R OF WILLS
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ESTATE OF BURCH JR ERNEST S
DATE OF DEATH 09-16-2010
CLERK OF FILE NUMBER 21 10-1037
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FLUoMBE L NI L `..`., i'a.t ACN 101
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620 LIBERTY AVE mount Remitted
PITTSBURGH PA 15222-2722
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 P_ORTI_ON FOR YOUR RECORDS _E— _ _ _ _ _ - - - - -
_ _ _ _ _ _ _ _
REV-1607 EX AFP C12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BURCH JR ERNEST S FILE NO. : 21 10-1037 ACN: 101 DATE: 12-08-2014
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: 06-02-2014
PRINCIPAL TAX DUE: 210,536.68
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-17-2010 CDO13806 .00 190,000.00
06-15-2011 CDO14595 .00 27,500.00
11-18-2014 REFUND .00 6,963.32-
TOTAL TAX PAYMENT 210,536.68
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.