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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX,EVIOIiQ--y �.,— a� OF STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 28-0601 - +i t
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DATE 03-09-2015
12 52 ESTATE OF SMITH SUSAN D
J � 1 DATE OF DEATH 01-15-2014
CLE, ( FILE NUMBER 21 14-0118
COUNTY CUMBERLAND
OTTO IQit`[ PHA' - I•VO' - V ACN 101
10 ECtl�CA'ST ;"
Amount Remitted
CARLISLE PA 17013-3015
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 _ _-�_ _ RE_TAIN LOWER PORTION FOR YOUR RECORDS _ F- _ _ _ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SMITH SUSAN D FILE NO. : 21 14-0118 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: 02-02-2015
PRINCIPAL TAX DUE: 11,714.89
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-03-2014 CDO18843 28.25 536.82
03-04-2014 CDO18853 28.25 536.82
04-10-2014 CDO18996 529.24 14,000.00
02-20-2015 REFUND .00 3,944.49-
TOTAL TAX PAYMENT 11,714.89
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. PA