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BUREA -WE 0 F INHERITANCE TAX DEPARTMENT OF REVENUE
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INHERIT IVISION
PO BOX -1 K-fj 0 F Yi I L L S STATEMENT OF ACCOUNT
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7m P1 12 16 DATE 04-27-2015
ESTATE OF HATFIELD JOHN G
CLER', OF DATE OF DEATH 03-03-2014
FILE NUMBER 21 14-0241
ORPHM �l�c' r' '1�T COUNTY CUMBERLAND
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CD-Fj�lj -,�- Ivid- v ACN 101
10 E HIGH ST Amount Remitted
CARLISLE PA 17013-3015
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 - LOWER PORTION FOR YOUR RECORDS - -- -- - ------- - - --
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STATEMENT O� i6ACCOUNTf- 17
ESTATE OF:HATFIELD JOHN G FILE NO. : 21 14-0241 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: 03-09-2015
PRINCIPAL TAX DUE: 18,981.10_
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-02-2014 CDO19226 949.06 20,000.00
04-08-2015 REFUND .00 1,967.96-
TOTAL TAX PAYMENT 18,981.10
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.