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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-144)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601R� hgED OFFICE OF
HARRISBURG PA 1980 *r F, LS
REGIS I -F� OF WIL DATE 04-20-2015
?gls PH 29 PM 12 1G ESTATE OF ZIEGELMEIER KAREN A
DATE OF DEATH 05-27-2013
C-L rE POF FILE NUMBER 21 13-1080
COUNTY CUMBERLAND
DOLANOR*qj,�N'S' VKVhT DACN 101
222jp�,ff,E,�,,STREET, SU;
PC 267, ''-i I Amount Remitted
ELIZABETHTOWN PA 17022-0267 1
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-
REV-1607
- ------------ - -
-f --f STATEMENT OF 4ACCOUNTW-c 1 j--f47)-- --I X;; INHERITANCE i ffA&E TAX gfiT
EX
ESTATE OF:ZIEGELMEIER KAREN A FILE NO. : 21 13-1080 ACN: 101 DATE: 04-20-2015
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: 12-22-2014
PRINCIPAL TAX DUE: 62,122.53_
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
08-14-2014 CDO19558 855.80- 62,983.42
03-31-2015 REFUND .00 5.09-
TOTAL TAX PAYMENT 62,122.53
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.