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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISIONPO BOX STATEMENT O F ACCOUNT
HARRIISBURG601 1PA ASA'RDED OFFICE 0E
REG] A Tr:� �� WILLS
DATE 04-06-2015
�3 C1 2 Oa, ESTATE OF OSIF HELEN J
iJ i ' L Li DATE OF DEATH 12-26-2014
CLERK OF FILE NUMBER 21 15-0242
_ COUNTY CUMBERLAND
ROBERT-ORPHQQSd F{ r,;J j
�Sd ACN 15109585
11 EArSTWy� iDR, k, :'t Amount Remitted
CAMP Cfly L" � '`�-PA 17011-1311
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 F-
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REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT *�(*
ESTATE OF:OSIF HELEN J FILE NO. : 21 15-0242 ACN: 15109585 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: 03-30-2015
PRINCIPAL TAX DUE: 86.01
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-02-2015 CD020307 4.02 76.45
04-03-2015 WRITEOFF .00 5.54
TOTAL TAX PAYMENT 86.01
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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