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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT O F ACCOUNT
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DATE 02-23-2015
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!QU!lRR 2 �� �2 �2 ESTATE OF RUBERT JR WILLIAMS F
I� I ' DATE OF DEATH 07-12-2011
CLE:',. n,_ FILE NUMBER 21 11-0797
COUNTY CUMBERLAND
09FYU9,HAR7 C r ?j; ; LISA D ACN 101
Clw2;04-I•BURNT, HOUSE FRD
8)LI\.SLE , ! PA 17015-9135 Amount Remitted
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 _ �_-_i_ RETAIN LOWER P_ORTI_ON FOR YOUR RECORDS _-- _ __ _ _ - - - - -
_ _ _ _ ___ _
REV-1607 EX AFP C12-14) * INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:RUBERT JR WILLIAMS F FILE NO. : 21 11-0797 ACN: 101 DATE: 02-23-2015
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: 01-26-2015
PRINCIPAL TAX DUE: 4,252.00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-12-2012 CDO15834 .00 4,400.00
02-09-2015 REFUND .00 148.00-
TOTAL TAX PAYMENT 4,252.00
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.