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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE�CyQURfyN D
PO BOX 2806 1J G U OFFICE O STATEMENT OF ACCOUNT REV-1607 EX AFP (12-13)
HARRISBURG PA*.,tft 6MR OF WILLS
�r((C JJ It tt\\ VV DATE 12-08-2014
014 ( LC 15 P(1 12 17ESTATE OF BRENNEMAN KAY I
DATE OF DEATH 09-16-2013
�ppCLERK OF FILE NUMBER 21 13-1023
BRENRLMA D'E`S% CIC 1 0 COUNTY CUMBERLAND
ACN 101
44CWMR&R�f D �.,
Amount Remitted
PO BOX 318
MECHANICSBURG PA 17055-6249
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 AFP C12-13) ** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BRENNEMAN KAY I FILE NO. : 21 13-1023 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: 06-16-2014
PRINCIPAL TAX DUE: 1,360.41
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-18-2014 CDO18766 .00 1,226.45
07-01-2014 CDO19372 . 16- 134.20
TOTAL TAX PAYMENT 1,360.49
BALANCE OF TAX DUE .08CR
INTEREST AND PEN. .00
TOTAL DUE
.08CR
* 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.