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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 2;2%OP'}C.D OFFICE OF STATEMENT OF ACCOUNT
HARRISBU 2;2%
17128-0601
RE�:!y T t t Ci wiIL-LS
DATE 01-26-2015
�01S IFEU 2 C M 1 21 ESTATE OF MYERS ANNA I
f7 DATE OF DEATH 03-22-2014
v FILE NUMBER 21 14-0373
GAO QNAl NE.SQj'OUEA�VID R COUNTY CUMBERLAND
ACN 101
F ppMi4�I�N k'
G� t? Amount Remitted
MECHANICSBURG PA 17055-3851
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 (-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT **
ESTATE OF:MYERS ANNA I FILE NO. : 21 14-0373 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: 12-15-2014
PRINCIPAL TAX DUE: 16,036.79
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-20-2014 CDO19325 801.84 16,000.00
01-07-2015 REFUND .00 765.05-
TOTAL TAX PAYMENT 16,036.79
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.