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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT O F ACCOUNT
PO BOX URG PA �F_gpop DED O, FiCE OF
HARRISBURG PA 1 1 01,
REECIS T FR OF WILLS
DATE 04-13-2015
{y�r it 2fl G� 1 �f11 ESTATE OF SPROUT ALBERTA E
?01S J R DATE OF DEATH 05-01-2014
CLEFciy OF FILE NUMBER 21 14-0472
RANDY 0RPMA0[zb0f)UP COUNTY CUMBERLAND
ACN 14128597
1813fTa'Ff.WORTH 'DR-
u - — � Amount Remitted
CAMP HILL PA 17011-5934 1 �9
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 E— - - - - - - - - - - - - - -
REV-1607 EX AFP (12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:SPROUT ALBERTA E FILE NO. : 21 14-0472 ACN: 14128597 DATE: 04-13-2015
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: 04-13-2015
PRINCIPAL TAX DUE: •84
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-10-2015 SBADJUST .00 .84
TOTAL TAX PAYMENT .84
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. \