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DEPARTMENT OF REVENUE
BUREAU OF IPO BOX 6EV �ICE �� INHERITANCE TAX
INHERITANCE T �IIrdN� L
//.� � WILLS
STATEMENT OF ACCOUNT REV-1607 EX AFP (12-13)
HARRISBURG 7IyS�D
PA 1601 � - �1� �!*'�
?01J J19N 7 rjrn 11 1 54 DATE 12-29-2014
J iv Ili ESTATE OF HUBERT SARAH A
CLEIrki; 0 DATE OF DEATH 04-06-2014
FILE NUMBER 21 14-0345
ORPHANS' COU7'T COUNTY CUMBERLAND
HUB T t'JOHN P11 S ACN 101
RTE RRL A v . .
8 RO ER AVE
Amount Remitted
SHIPPENSBURG PA 17257-9778
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 F-
- - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - -- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REV-1607 EX AFP C12-13� *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:HUBERT SARAH A FILE NO. : 21 14-0345 ACN: 101 DATE: 12-29-2014
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: 10-20-2014
PRINCIPAL TAX DUE: 29,530.82
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-25-2014 CDO19340 1,476.54 29,530.82
12-12-2014 REFUND .00 1,476.54-
TOTAL TAX PAYMENT 29,530.82
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.