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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION r
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STATEMENT O F ACCOUNT
PO BOX 280601 PFPl(�4DED C
HARRISBURG PA 176
LL S
DATE 05-18-2015
?a15 F iRY 26 Dn 1.2 112 ESTATE OF BELL ANN M
` DATE OF DEATH 02-28-2013
C LE-C_ ; FILE NUMBER 21 13-0271
BELL QRPW-AN`,'6AVIDT J COUNTY CUMBERLAND
430 A�!,`,l4Et4DA,L'E` WAY ACN 101
VD Amount Remitted
CAMP HILL PA 17011-8409
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 _ _�_ _ _IN
RE4-RETAIN LOWER PORTION FOR YOUR RECORDS _ _ _ _ _ _
REV-1607 EX AFP C12-14) * * HERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BELL ANN M FILE NO. : 21 13-0271 ACN: 101 DATE: 05-18-2015
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: 07-28-2014
PRINCIPAL TAX DUE: 18,247.46
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-02-2013 CDO18463 .00 15,900.00
04-01-2014 CDO18962 .00 2,347.46
05-20-2014 CDO19190 29.09- 29.09
TOTAL TAX PAYMENT 18,247.46
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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