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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION T E M E N T OF ACCOUNT
PO BOX 280601 RECORDED ��� T ►�
HARRISBURG PA 17128-0601
REGISTER OF WILLS DATE 12-22-2014
Z� r PM 12
�� ESTATE OF TOMEK HELEN A
DATE OF DEATH 11-06-2013
FILE NUMBER 21 13-1230
CLERK OF COUNTY CUMBERLAND
BANGS ORPMll'Agl�;EULLRT ACN 101
429 S 18T[tftBERI AND CQ P i Amount Remitted
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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 P C12-13�_ _ _ _ *** INHERITANCE TAX STATEMENT OF ACCOUNT **
ESTATE OF:TOMEK HELEN A FILE NO. : 21 13-1230 ACN: 101 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: 11-10-2014
PRINCIPAL TAX DUE: 7,148.22
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-06-2014 CDO18742 357.41 12,000.00
12-04-2014 REFUND .00 5,209. 19-
TOTAL TAX PAYMENT 7,148.22
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. \