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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAX_ES INHERITANCE TAX
REV-1607 IX AFP C12-14)
INHERITANCE TAX RIYI,SIONJ O �• STATEMENT OF ACCOUNT
PO BOX 280TFFTf��f,, v,;t,
HARRISBURG P 17128-0.601
DATE 03-30-2015
?GIS RPR S �?� 1193 ESTATE OF BALLANTINE ANNA A
U DATE OF DEATH 05-02-2014
G L1ER 0i: FILE NUMBER 21 14-0486
KUN P�SQ�S �'rl11PTLY J COUNTY CUMBERLAND
xACN 101
P%L�p 114
Amount Remitted
HARRISBURG PA 17106-0974
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 (12-14) ** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BALLANTINE ANNA A FILE NO. : 21 14-0486 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: 03-02-2015
PRINCIPAL TAX DUE: 8,640.95
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
07-17-2014 CDO19429 432.05 8,250.00
03-16-2015 REFUND .00 41.10-
TOTAL TAX PAYMENT 8,640.95
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. �P\