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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANC�rY,np�T6�QN-1 OFFICE QF STATEMENT OF ACCOUNT
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DATE 04-27-2015
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DATE OF DEATH 03-02-2014
CLEF:, OF FILE NUMBER 21 14-0218
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CARLISLE PA 17015-7451 —
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--
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REV-1607 EX AFP C12-14) *** INHERITANCE fAX STATEMENT OF ACCOUNT ***
ESTATE OF:STAMBAUGH GLENN A FILE NO. : 21 14-0218 ACN: 101 DATE: 04-27-2015
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: 03-16-2015
PRINCIPAL TAX DUE: 447,985.80
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
05-23-2014 CDO19199 22,399.29 428,000.00
04-06-2015 REFUND .00 2,413.49-
TOTAL TAX PAYMENT 447,985.80
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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