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17 DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX STATEMENT OF ACCOUNT
HARRISBAPAqUAQ01OFFICE OF
REGISTER OF WILLS DATE 12-22-2014
?014 DLEC 29 FM 12 22 ESTATE OF DERSIN DORIS L
DATE OF DEATH 10-22-2013
CLERK OF FILE NUMBER 21 13-1248
COUNTY CUMBERLAND
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%'-MUj,TjETER R ACN 101
C E f�L a'1 i A ),I I r, rl� rl A' Amount Remitted
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HERSHEY PA 17033-2097
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 4— - - --------- -- -
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ESTATE OF:DERSIN DORIS L FILE NO. : 21 13-1248 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: 3,557.46_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
07-23-2014 CDO19459 .29- 3,563.97
12-02-2014 REFUND .00 6.22-
TOTAL TAX PAYMENT 3,557.46
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.