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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX l^^D,,IVISIt�OOO�N STATEMENT OF ACCOUNT
HARRISBURG
PO BOX 6PA' I296Df- OFFICE QFC
REGISTER OF FILLS
DATE 03-23-2015
C �!lIi 30 PM t 2 C�� ESTATE OF MATTER SHARON M
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J RR 1 DATE OF DEATH 06-12-2012
CLLR OF FILE NUMBER 21 14-0948
COUNTY CUMBERLAND
TRAU@IRPHAN S' C66),RT T ACN 101
5 0 IbE-EK V I EW`, R D "•
t., _+:r - - � 4 Amount Remitted
MECHANICSBURG PA 17050-2013 -
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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REV-1607 EX AFP C12-14) *** INHERITANCE fAx STATEMENT OF ACCOUNT X;;
ESTATE OF:MATTER SHARON M FILE NO. : 21 14-0948 ACN: 101 DATE: 03-23-2015
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: 02-17-2015
PRINCIPAL TAX DUE: 5,715.00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-02-2014 CDO19748 .00 5,715.00
03-06-2015 CD020316 266.65- 266.65
TOTAL TAX PAYMENT 5,715.00
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.
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