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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES +` INHERITANCE TAX _r. REV-1607 EX AFP (12-14)
INHERITANCE TAXA-VI-SIGN C ;'17 fl'F STATEMENT OF ACCOUNT
PO BOX 280601 f,1 EE
HARRISBURG PA 1712 840601
APR - D c t;n 11 43 DATE 03-30-2015
J f 1 ESTATE OF METZGER JOHN W
DATE OF DEATH 03-26-2013
C LER� 0I FILE NUMBER 21 13-0392
ASHLEI CRPLH��S, CIU-RT COUNTY CUMBERLAND
APT 2CU �-`^ �LID ACN 13118101
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Amount Remitted
109 SHERWOOD CIR
MINOT AFB ND 58704-1146
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 (12-14) INHERITANCE TAX STATEMENT OF ACCOUNT **
ESTATE OF:METZGER JOHN W FILE NO. : 21 13-0392 ACN: 13118101 DATE: 03-30-2015
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: 02-27-2015
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
04-03-2014 CDO18982 .00 32.53
04-18-2014 SBADJUST .00 .06
03-16-2015 REFUND .00 32.59-
TOTAL TAX PAYMENT .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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