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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXEs INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 280601STATEMENT OF ACCOUNT
HARRISBURG PA 7? (("`15;F^^' r - ,� r..
r� DATE 03-09-2015
ESTATE O
�fn 1 � DATE OFDEATH 07-14-20144NCOLE F
FILE NUMBER 21 14-0690
C-" COUNTY CUMBERLAND
GLEA@W4)ffESQ. THOMAS P ACN 101
STt��3� Amount Remitted
49 W Ok NOE ST
SHIPPENSBURG PA 17257-1813
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 C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BAXTER NICOLE F FILE NO. : 21 14-0690 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: 02-09-2015
PRINCIPAL TAX DUE: 15,040. 19
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-10-2014 CDO19784 752.01 14,888. 18
02-23-2015 REFUND .00 600.00-
TOTAL TAX PAYMENT 15,040.19
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. \�\