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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAS FONlt OFFICE OF STATEMENT O F ACCOUNT REV-1607 EX AFP (12-14)
PO BOX 280601 L M��ED
HARRISBURG PA 1�} E OFWILLS
fit(( LL JJ DATE 01-12-2015
?0I5 J19N 20 PM 12 12 ESTATE OF KAPP ELVERTA M
DATE OF DEATH 03-10-2014
CLEC :; (�f FILE NUMBER 21 14-0270
JACK ORFNAjlklc 'OJR1 COUNTY CUMBERLAND
(�� `T`t r �� ACN 14116307
613
Amount Remitted
MECHANICSBURG PA 17055-6635 —
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
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REV-1607 EX AFP (12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:KAPP ELVERTA M FILE NO. : 21 14-0270 ACN: 14116307 DATE: 01-12-2015
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: 01-09-2015
PRINCIPAL TAX DUE: .00
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .00
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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