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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISIONSTATEMENT OF ACCOUNT
PO BOX 280601 RLECO.RD7D r-FICE CF
HARRISBURG PA 17128-0601 F I'
P S T V,'!-LS' DATE 03-02-2015
ESTATE OF MCMILLEN SR DONALD C
MIS W 10 P111 28 DATE OF DEATH 01-03-2014
FILE NUMBER 21 14-0034
CLE, OF COUNTY CUMBERLAND
BECKLEY THOMtk&D St', ACN 101
,%I T
PO BOX 11998 CU Amount Remitted
HARRISBURG PA i'7108-•1998
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
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ESTATE OF:MCMILLEN SR DONALD C FILE NO. : 21 14-0034 ACN: 101 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: 02-02-2015
PRINCIPAL TAX DUE: 2,903.64_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
03-28-2014 CDO18960 145.18 31000.00
02-17-2015 REFUND .00 241.54-
TOTAL TAX PAYMENT 2,903.64
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.