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pennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDL -I INHERITANCE TAX REV-1607 EX AFP 2-13)
INHERITANCE TAREXeTUAG%CEYEdFFlGE OF (1
STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA I7R;TQfR.TER OF WILLS
201, OLC 29 Fn 12 12 DATE 12-22-2014
ESTATE OF JUMPER THELMA M
DATE OF DEATH 06-05-2005
CLE{ 0 F FILE NUMBER 21 05-0532
't4 s, couRT COUNTY CUMBERLAND
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GERALD9kF , "GASSWI,N-T, pA,
ACN 06113539
8 C E A'VE - '' ' I
Amount Remitted
MECHANICSBURG PA 17055
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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 -- - - --- - -- --- ---
k iV'--1 6 i f-Cx-AFP C12-13}---- -*;; -i7k`Niifl:*A�NH-ffiY ifSTATEMENTOF� iC C70Nf 4;;
ESTATE OF:JUMPER THELMA M FILE NO. : 21 05-0532 ACN: 06113539 DATE: 12-22-2014
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: 12-19-2014
PRINCIPAL TAX DUE: .00
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
04-07-2009 CDO11348 .00 158.49
TOTAL TAX PAYMENT 158.49
BALANCE OF TAX DUE 158.49CR
INTEREST AND PEN. .00
TOTAL DUE 158.49CR
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. t 0