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DEPARTMENT OF REVENUE
BUREAU,_QF ND-IVZ-DUbA-T-AXEF 0 F INHERITANCE TAX REV-1607 EX AFP (12-14)
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INHER15NCe WIVISI NC
_ j STATEMENT OF ACCOUNT
PO BOX 280
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HARRISB*A-_P,A,171.28.-.0601 - 4. ,— -
E 23 M 12 DATE 02-17-2015
701S FEB LB 6,28 ESTATE OF HALTEMAN GLADYS I
DATE OF DEATH 01-13-2014
C LE r FILE NUMBER 21 14-0114
COUNTY CUMBERLAND
DV: E-SiESQ' JAMES D
RD - I I . ACN 101
354 ALEXANDER SPRING Amount Remitted
CARLISLE PA 17015-7451
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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ESTATE OF:HALTEMAN GLADYS I FILE NO. : 21 14-0114 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: 01-12-2015
PRINCIPAL TAX DUE: 12,680.99_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
04-10-2014 CDO19003 634.05 13,300.00
01-26-2015 REFUND .00 1,253.06-
TOTAL TAX PAYMENT 12,680.99
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.