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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION REC0RFrL--- 'STA MMgNT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601 -REG!S'7--
DATE 03-02-2015
21115 F11H 10 P Fi i r .9 ESTATE OF BOUDER GAIL L
DATE OF DEATH 01-15-2012
C LEr P FILE NUMBER 21 12-0151
COUNTY CUMBERLAND
MATEYA MA(fkp�"'A' ACN 501
55 W CHURCH AWUk(�,�' Amount Remitted
CARLISLE PA 17013-3202
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 --- ----- - ---- - ---
TAX-iffiYE;i4f O� ACCOUNT WHiiffAH7
iii--I657 EX AFP C12-143-- ---*;;-f
ESTATE OF:BOUDER GAIL L FILE NO. : 21 12-0151 ACN: 501 DATE: 03-02-2015
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: 02-23-2015
PRINCIPAL TAX DUE- 4,577.21_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
09-04-2014 CDO19634 .00 4,577.21
TOTAL TAX PAYMENT 4,577.21
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.