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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX QIVIS-ION CF STATEMENT OF ACCOUNT
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R DATE 03-09-2015
ESTATE OF TREJO JOSE M
?ills F
DATE OF DEATH 06-28-2013
FILE NUMBER 21 13-0850
CLE" COUNTY CUMBERLAND
ND�W&,�S4SQ STEVE C ACN 101
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L Amount Remitted
2215 FOREST HILLS DR
HARRISBURG PA 17112-1099 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 4— - - - - -- -- - --- - -
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ESTATE OF:TREJO JOSE M FILE NO. : 21 13-0850 ACN: 101 DATE: 03-09-2015
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: 24,774.00_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-27-2013 CDO18187 1,052.63 20,000.00
02-17-2015 CD020239 99.48- 3,820.85
TOTAL TAX PAYMENT 24,774.00
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.