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DEPARTMENT OF REVENUE
BUREAU of 41ft IaUAL-rTA�ES_ (� INHERITANCE TAX
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REV-1607 EX AFP (12-14)
INHERITANCE k LSTON-+� F�' �� STATEMENT OF ACCOUNT
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02-02-2015
ESTATE OF MATTSON RAYMOND H
DATE OF DEATH 09-15-2012
�� �,. r�k• FILE NUMBER 21 12-1011
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COUNTY CUMBERLAND
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Amount Remitted
4431 N FRONT ST
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HARRISBURG PA 17110-1778
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 _ E— _ _ _ _ _ - - - - -
_ _ _ _ _ _ _ _
REV-1607 EX P C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT 3e;;
ESTATE OF:MATTSON RAYMOND H FILE NO. : 21 12-1011 ACN: 101 DATE: 02-02-2015
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: 01-23-2015
PRINCIPAL TAX DUE: 28,730.69
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
05-08-2014 CDO19129 .00 1,847.82
01-14-2015 CD020138 1,319.27- 28,202.14
01-30-2015 SBADJUST .00 4.41
TOTAL TAX PAYMENT 28,730.69
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.