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DEPARTMENT OF REVENUE
BUREAU DITAM -
REV-1607 EX AFP (12-14)Da ( ' INHERITANCE TAX
INHERITANCE ibN " STATEMENT OF ACCOUNT
PO BOX 280601 nn};�T'y;"� r'F "1jLL
HARRISBURG PA 1PI�8cdU e1' 1 I �.
?015 pRR 2 IPM 12 32 DATE 02-23-2015
3 i '�lli ESTATE OF BOUDER GAIL L
liL E-t, r (IF DATE OF DEATH 01-15-2012
Y FILE NUMBER 21 12-0151
ORPHANS' U`e� i COUNTY CUMBERLAND
MATEM �} y t '` MARK .+ A ACN 101
55 W CHURCH AVE
Amount Remitted
CARLISLE PA 17013-3202
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— _ _ _ _ _ — — - — —
_ _ _ _ _ _ _ _
REV-1607 EX AFP C12-14) * INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BOUDER GAIL L FILE NO. : 21 12-0151 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: 02-20-2015
PRINCIPAL TAX DUE: 25,348.49
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C—)
04-12-2012 CDO15835 1,259.63 23,933.00
10-08-2012 CDO16608 .00 155.86
TOTAL TAX PAYMENT 25,348.49
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.