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DEPARTMENT OF REVENUE
BUREAU OF�Mn, MDTA@Aff 16E'OF INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE 3 STATEMENT OF ACCOUNT
PO boHARRISBURGx 2806PA0' 4 1 R�.qj- 6 1-
�jjl-R OF WILLS,
MIS PH 29 PM 12 16 DATE 04-20-2015
ESTATE OF PHILLIPS HILDA I
CL ERIK OF DATE OF DEATH 03-10-2014
FILE NUMBER 21 14-0328
ORS'; !T AN,(,,' COCOU'l COUNTY CUMBERLAND
PT�i�gSRLAN--.' DAVIDt� A ACN 101
108 WINDRUSH LN
Amount Remitted
MECHANICSBURG PA 17055-9235
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
iEV--liif EX AFP lc12:17473- ----*;;-INHERITANCE:' - --FAX-STATEMENT OF-iftiO D N f -- -- - - - - -- - - --
ESTATE OF:PHILLIPS HILDA I FILE NO. : 21 14-0328 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: 05-23-2015
PRINCIPAL TAX DUE: 15,680.84
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
06-09-2014 CDO19264 784.04 15,200.00
04-06-2015 REFUND .00 303.20-
TOTAL TAX PAYMENT 15,680.84
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.