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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISI N
PO BOX 280601 RECORDED T E M E N T OF ACCOUNT
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HARRISBURG PA 17128-0601
REGJS TE'; Cl F VE'lLLS
DATE 01-26-2015
��35 FEB2 �� �� ESTATE OF LIGHT VELMA H
LU DATE OF DEATH 02-28-2013
FILE NUMBER 21 13-0380
C LE R K O F COUNTY CUMBERLAND
MILLER EA ORP NiJYRNIFfR.—LT ACN 101
1 E CHOCO6VE STE -200
"+
HERSHEY PA 170334 Amount Remitted
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 _ 4— - - - - - -
_ _ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT X;;
ESTATE OF:LIGHT VELMA H FILE NO. : 21 13-0380 ACN: 101 DATE: 01-26-2015
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: 05-05-2014
PRINCIPAL TAX DUE: 19,767.00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-24-2013 CDO17656 988.35 20,000.00
01-07-2015 REFUND .00 1,221 .35-
TOTAL TAX PAYMENT 19,767.00
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.