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DEPARTMENT OF REVENUE
BUREAU OF INDIVVI�U�1L TE INHERITANCE TAX
INHERITAI E� XDVISI�N r {"j �� REV-1607 EX AFP (12-14)
PO Box 280601 _ STATEMENT OF ACCOUNT
HARRISBURC;I"P ,870601 C i V!I US
DATE
215 FEB L3I12 32 ESTATE OF HALTEMAN15 GLADYS I
DATE OF DEATH 01-13-2014
GLEE 0
FILE NUMBER 21 14-0114
ORP HA11S, COUNTY CUMBERLAND
H€S-ESQ. -JAMES D 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 _ _0, RETAIN LOWER PORTION FOR YOUR RECORDS _ � _ _ _ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP C12-14) * IITANCE TAX STATEMENT OF ACCOUNT ***
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. (�\
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