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- DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION REV-1607 EX AFP (12-14)
PO Box 280601 STATEMENT OF ACCOUNT
HARR BU FFICE OF'
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R E G I S! Vl!i L L S
DATE 01-20-2015
ESTATE OF MCCONNELL MARY E
143 DATE OF DEATH 10-26-2013
FILE NUMBER 21 13-1202
C L E 0 F COUNTY CUMBERLAND
GAR ' MCCONNELL
tji%BRANT ACN 13505292
i RICAN� R
Amount Remitted
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MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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- -- - --- - ------ -
--Ck-AFP lc12:174-)-- ---*;; INHERITANCE--TAX-gfCVk;Eif O� ACCOUNT
ESTATE OF:MCCONNELL MARY E FILE NO. : 21 13-1202 ACN: 13505292 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: 01-14-2015
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
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.