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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX —_
REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION_.
Po BOX 280cQ}� �t^` '- ♦; -[^E !� STATEMENT OF ACCOUNT
HARRISBURG PA(7718=060Y�;
DATE 03-30-2015
7n1S RPR 6 Rn li Lia ESTATE OF SHAFFER LUCILLE M
lil fid 11 DATE OF DEATH 07-19-2014
CLERK OF FILE NUMBER 21 14-0701
MAN }�AS' CLh.J{ I E COUNTY CUMBERLAND
ACN 101
3�1@ NE R D!1'i
Amount Remitted
CAMP HILL PA 17011-1425
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 —1 RETAIN LOWER PORTION FOR YOUR RECORDS E-
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REV-1607 EX AFP C12-14� *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SHAFFER LUCILLE M FILE NO. : 21 14-0701 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: 01-26-2015
PRINCIPAL TAX DUE: 31,546.95
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-24-2014 CDO19713 1,577.35 30,347.07
03-13-2015 REFUND .00 377.47-
TOTAL TAX PAYMENT 31,546.95
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. ( \
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