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04-13-15
pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14) INHERITANCE TAX DIVISION PO BOX 280601 STATEMENT OF ACCOUNT HARRISBURG PA l-RE00RDED OF=FICE OF REGIST,LER ©; WILLS DATE 04-06-2015 ESTATE OF MCBRIDE GISELA R ?015 RPR 13 91 i 1159 DATE OF DEATH 08-17-2012 FILE NUMBER 21 12-0940 Cl ER COUNTY CUMBERLAND DANIEL4 t� I �LIAM S- ACN 101 STE 20 R .ANS COURT Amount Remitted CARLISLE PA 17013-2951 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 TAX STATEMENT OF ACCOUNT *** ESTATE OF:MCBRIDE GISELA R FILE NO. : 21 12-0940 ACN: 101 DATE: 04-06-2015 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: 03-09-2015 PRINCIPAL TAX DUE: 1,395.27 PAYMENTS CTAX CREDITS) : PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 11-16-2012 CDO16794 69.76 2,000.00 03-23-2015 REFUND .00 674.49- TOTAL TAX PAYMENT 1,395.27 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.