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DEPARTMENT OF REVENUE
BUREAU OF INDI 1�4
INHERITANCE TAX Dk=�U_ OFFICE STATEMENT OF ACCOUNT
REV-1607 IX AFP (12-13)
HA BOX HARRISBURG
PA n U I T E R O i W I L S
HARRISBURG PA 1712 J
7019 01H 2q F!j 1,2 22 DATE 12-22-2014
CU l tJ ESTATE OF BIGGS NANCY
CL ERK O F DATE OF DEATH 02-25-2014
ORPHANS' COURT FILE NUMBER 21 14-0330
CONNEL. _ R� �H ift, "E+ COUNTY CUMBERLAND
UVQERL' ACN 101
2303 MARKET ST
Amount Remitted
CAMP HILL PA 17011-4627
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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REV-1607 EX AFP C12-13) ** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BIGGS NANCY FILE NO. : 21 14-0330 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: 12-08-2014
PRINCIPAL TAX DUE: 6,560.98
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
05-20-2014 CDO19191 328.05 6,304.38
12-08-2014 REFUND .00 71.45-
TOTAL TAX PAYMENT 6,560.98
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.
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