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pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP REVENUE
INHERITANCE TAX DIVISION
PO BOX 280601p 4WJ99F- {� � � OF STATEMENT OF ACCOUNT
HARRISBURG PAY �8��a
R E 0 1 S T WILLS
DATE 01-20-2015
?01S j�qN 26 PM 1 `i3 ESTATE OF MATTSON WALTER E
DATE OF DEATH 03-30-2013
CLERli\' OF FILE NUMBER 21 13-0665
COUNTY CUMBERLAND
RICHA6�T�(AP�j' C�C�INT M ACN 101
937(�{��(�fLLE,�(tt,ST' D e"-. PA
PO
81140-1t Amount Remitted
LEBANON PA 17042-1140
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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REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:MATTSON WALTER E FILE NO. : 21 13-0665 ACN: 101 DATE: 01-20-2015
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: 15,212.00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-13-2013 CDO17744 760.60 17,000.00
12-30-2014 REFUND .00 2,548.60-
TOTAL TAX PAYMENT 15,212.00
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. \