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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE ;AX
POJBgq@3'40��L Pjlvls4", i E F STATEMENT OF ACCOUNT
HA B RG,P4-17128[0601ol I US
REG16t - DATE 02-17-2015
23 Piml 12 CJS� ESTATE OF SMITH JR TERENCE G
DATE OF DEATH 10-04-2013
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FILE NUMBER 21 13-1246
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,I r COUNTY CUMBERLAND
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Z,diT0WICZ JOHN C ACN 101
CUA,�',On�',S.!HANOVER, ST' Amount Remitted
CARLISLE PA 17013-3420
MAKE CHECK PAYABLE AND REMIT PAYMENT TOz
REGISTER OF WILLS
I 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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ESTATE OF:SMITH JR TERENCE G FILE NO. : 21 13-1246 ACN: 101 DATE: 02-17-2015
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: 01-05-2015
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
11-20-2013 CDO18430 .00 12. 19
02-02-2015 REFUND .00 12. 19-
TOTAL TAX PAYMENT .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.