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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION -.--, -7-. -,7r;7STATEMENT OF ACCOUNT
PO BOX 280601 RECG,,-
HARRISBURG PA 17126-0601
DATE 03-09-2015
?01S 91piR lF, 12 15 2 ESTATE OF TENEYCK DOROTHY M
DATE OF DEATH 12-15-2013
C L7. FILE NUMBER 21 13-1329
COUNTY CUMBERLAND
CONFAIR 0RPH;At'96SA'-N' H ACN 101
2331 M6",ETrS-T- Amount Remitted
CAMP HILL PA 17011-4642
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-
7 - - - - -- - - - - -- - --
REV-1607- Cx- -AFP t12-14) - -- I*; gfiikAiNf OF-ACCOUNT - *;;
ESTATE OF:TENEYCK DOROTHY M FILE NO. : 21 13-1329 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: 5,465.76_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
03-14-2014 CDO18895 273.29 7,351.47
02-19-2015 REFUND .00 2,159.00-
TOTAL TAX PAYMENT 5,465.76
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.
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