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- DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERIT N RX,DIV.IS� IONlrj REV-1607 IX AFP C12-14)
PO BCRFZQ hL L .L STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601,-x., j
REG
DATE 03-30-2015
9f11S �! _ '.3 ESTATE OF LAU LESTER D
CUL DATE OF DEATH 02-19-2014
CL117. -0= FILE NUMBER 21 14-0294
O1��LR � C� DOUGLAS G COUNTY CUMBERLAND
s ACN 101
CU,,P�j I OMFRE'T STI ;
Amount Remitted
CARLISLE PA 17013-3243
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-
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REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:LAU LESTER D FILE NO. : 21 14-0294 ACN: 101 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: 01-12-2015
PRINCIPAL TAX DUE: 8,272.94
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (—)
05-19-2014 CDO19183 368.42 7,000.00
09-12-2014 CDO19667 .00 922.94
03-13-2015 REFUND .00 18.42—
TOTAL TAX PAYMENT 8,272.94
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. \�\