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DEPARTMENT OF REVENUE
BUREAU OF ,L ,V.IDUAL. TAXESjl;'Y C INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE;TA �QdVSSION! '
PO BOX 280601 STATEMENT OF ACCOUNT
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HARRISBURG P 1,7128-06b1'
12 52 DATE 03-09-2015
J I U ESTATE OF SHERICK CAROL
DATE OF DEATH 12-09-2013
CLE. FILE NUMBER 21 14-0173
ORPHA': ' COUNTY CUMBERLAND
HA }B}�RU(NER ESQ MARK E ACN 101
21 5'IA'A'RKET ST
Amount Remitted
CAMP HILL PA 17011-4723
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-
REV-1607 EX AFP 012-14)_ ** _ CE INHERITANTAX STATEMENT OF ACCOUNT _ _ _ _ _ _ _ _ _ _ _ _ _ _
ESTATE OF:SHERICK CAROL FILE NO. : 21 14-0173 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: 01-20-2015
PRINCIPAL TAX DUE: 15,591 .96
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-06-2014 CDO18857 779.60 18,300.00
02-18-2015 REFUND .00 3,487.64-
TOTAL TAX PAYMENT 15,591.96
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. �� „\