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' DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-RElCORDED CFFICE OF
P r i
R -' F "'i IL LOS DATE 02-17-2015
ESTATE OF NAGODE JANE A
7015 FEB 23 PFI 12 31 DATE OF DEATH 12-28-2013
FILE NUMBER 21 14-1197
C' E;-" OF COUNTY CUMBERLAND
MELISSA AD.D ACN 14103100
421 LIMES E"RD Amount Remitted
CARLISL�UMBER'-1' PA 1"7'015"-'4346 1 �l
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 --- --- -- -- -- - -- --
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TAX Vi;bif OF ACCOUNT iEW--lHf EX AFP C12-14) WHHHAEE
ESTATE OF:NAGODE JANE A FILE NO. : 21 14-1197 ACN: 14103100 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: 12-15-2014
PRINCIPAL TAX DUE: 199.35_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
01-29-2015 CD020201 1.52- 200.87
02-15-2015 SBADJUST .00 .49
TOTAL TAX PAYMENT 199.35
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. 41