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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 01-05-2015
ESTATE OF OLSHEFSKI HELEN A
DATE OF DEATH 05-07-2014
FILE NUMBER 21 14-0467
COUNTY CUMBERLAND
PETERS ESQ WILLIAM J ACN 101
2931 NORTH RFRONT STREE Amount Remitted
HARRISBURG PA 17110
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 --1 RETAIN LOWER PORTION FOR YOUR RECORDS 4— ---- ------ ----
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llex-iW 012-13}---- -*;; WHiiffAH TAX F ACCOUNT
ESTATE OF:OLSHEFSKI HELEN A FILE NO. : 21 14-0467 ACN: 101 DATE: 01-05-2015
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: 12-22-2014
PRINCIPAL TAX DUE: 7,909.52.
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
07-25-2014 CDO19481 395.48 7,595.28 c=
Cin Mrn C->
' C-
12-22-2014 REFUND .00 81 .24-� 73
M —4
M M
70
o)
C
GJ t M
TOTAL TAX PAYMENT 7,909.52
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.