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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT O F ACCOUNT
PO BOX 280601 pE1� _^� /�_
HARRISBURG PA 17128-0601 f\ � jL1 tJ�' ��j O�'-
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ESTATE OF MATTSON RAYMOND H
2D15 FEB 9 M 1 C5 DATE OF DEATH 09-15-2012
FILE NUMBER 21 12-1011
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ROYER ESQ ��{EATHER D.^— ACN 101
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Amount Remitted
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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 4-
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REV-1607 EX AFP 012-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
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 (-)
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.