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DEPARTMENT OF REVENUE
BUREAU OF INDILjE1� TAXES --a INHERITANCE TAX REv-1607 EX AFP c12-141
INHERITANCE rax D , NkiiL J + t � STATEMENT OF ACCOUNT
PO BOX 280601 .J�+ c
HARRISBURG PA 17128FQ60.1 j J E- . }L L S
�01S n,iR 2 PM 1_!_ 32 DATE 02-23-2015
11 II '' ESTATE OF SHELDON HELEN R
CLEC`., OF DATE OF DEATH 01-04-2014
FILE NUMBER 21 14-0443
0 R P HANtS' 0..0 T COUNTY CUMBERLAND
ROBERT((� x.ApS-H,ELDON -
116 FIEL%SdT(lNE DR ACN 14105888
CARLISLE PA 17015-9036 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 _ _1_ RETAIN LOWER PORTION FOR YOUR RECORDS _-- _ - - - - -
_ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP C12-14) ** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SHELDON HELEN R FILE NO. : 21 14-0443 ACN: 14105888 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: 01-28-2015
PRINCIPAL TAX DUE: 124.24
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
05-06-2014 CDO19127 .00 124.24
06-12-2014 CDO19302 .00 56.46
02-06-2015 REFUND .00 56.46-
TOTAL TAX PAYMENT 124.24
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. �\