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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERIT28PElCnD DI"''" OFFICE OF STATEMENT OF ACCOUNT
PO BOX 28 1
HARRISBUR 17}2B,-0601 ,'F k"'ILLS
DATE 05-04-2015
12 2p. ESTATE OF VERBOS ELLEN M
J { I DATE OF DEATH 03-26-2012
CLE:.,';' FILE NUMBER 21 12-0622
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ACN 12157176
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Amount Remitted
MECHANICSBURG PA 17055-5707
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 _E— _ - - - - -
_ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:VERBOS ELLEN M FILE NO. : 21 12-0622 ACN: 12157176 DATE: 05-04-2015
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: 03-02-2015
PRINCIPAL TAX DUE: 232.82
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-09-2014 CDO19002 8.95- 807.39
04-16-2015 REFUND .00 565.62-
TOTAL TAX PAYMENT 232.82
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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