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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISB(&,E( 00,,@i-&6ol"FFICE OF
REGIS T----R 7 V;'I L L S DATE 02-17-2015
ESTATE OF CRISAFULLI PHILIP
?gI5 FEB 23 F Fl 12 '(-'9 DATE OF DEATH 08-03-2012
FILE NUMBER 21 14-0919
C 1—E F, COUNTY CUMBERLAND
D ACN
I,AOSGATO 13156595
D�
6� L
GOD P L Amount Remitted
C wai N-G,-°,S,P,R,I N 6S PA 17007 -9449 1 - I
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-- - - - - - -- -- -- - --
-f TAX STATEMENT OF ACCOUNT
-j�F� (H:17
j E�47--1;6 f EX 47) INHERITANCE A� T7
ESTATE OF:CRISAFULLI PHILIP FILE NO. : 21 14-0919 ACN: 13156595 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: 11-19-2014
PRINCIPAL TAX DUE: 150.88
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
01-30-2015 CD020182 7.19- 158.07
02-06-2015 SBADJUST .00 .69
TOTAL TAX PAYMENT 150.88
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.