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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ' INHERITANCE TAXUREV-1607 EX AFP VENN)
INHERITANCE TAX DIVISION
STATEMENTPO BOX OF ACCOUNT
PA ()�r r D Q F F ICE 4 E'
HARRISBURGURG PA `�
REGIS E IE,l Or MILLS
DATE 01-20-2015
,01-5 J19N pip 2U C 1 93 ESTATE OF SHEDLOSKY EDMOND F
� 1 DATE OF DEATH 11-26-2013
CLEii{i OF FILE NUMBER 21 13-1312
BOYD ORPHANS' CORATAi S COUNTY CUMBERLAND
ACN 101
381CffY13�VI6_ Amount Remitted
NAPLES
FL 34102-6532
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 _-_-)_ RE_TAIN LOWER PORTION FOR YOUR 'RECORDS _ 4— _ _ _ __ _ _ _ _ _ _ _ _
REV-1607 EX AFP 12
( -14) * INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SHEDLOSKY EDMOND F FILE NO. : 21 13-1312 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: 35,037.29
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-20-2014 CDO18785 1,751.86 35,000.00
12-30-2014 REFUND .00 1,714.57-
TOTAL TAX PAYMENT 35,037.29
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.