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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX J REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION r /� STATEMENT OF ACCOUNT
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DATE 05-11-2015
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9 ESTATE OF BERNER CLARENCE T
U J 1 U I1� 1 DATE OF DEATH 01-27-2015
CLEF`, Or FILE NUMBER 21 15-0347
COUNTY CUMBERLAND
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,�;...i.._. Amount Remitted
SA LUIS OBISPO CA 93401-7846
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
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REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BERNER CLARENCE T FILE NO. : 21 15-0347 ACN: 15109601 DATE: 05-11-2015
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: 04-27-2015
PRINCIPAL TAX DUE: 30.83
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+} AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-25-2015 CD020433 1 .54 29.29
TOTAL TAX PAYMENT 30.83
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.