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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
E
po Box 280601 n c 0PED CF.FiC
2 -060LOF STATEMENT OF ACCOUNT
HARRISBURG PA'1*q
REG!ST 17 R PF WILLS,
DATE 05-18-2015
?Dls MY 26 PM 12 52 ESTATE OF PATTISON ANNIE G
DATE OF DEATH 09-05-2013
CLEF,,-, OF FILE NUMBER 21 13-0989
MYERSORPHANS' @6k*ES-T N COUNTY CUMBERLAND
ACN 101
137,C��K) W Amount Remitted
SHIP*PENSBURG PA 17257-9212
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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STATEMENT fE;iNf OF ACCOUNT **
ESTATE OF:PATTISON ANNIE G FILE NO. : 21 13-0989 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: 03-23-2015
PRINCIPAL TAX DUE: 96,608.50
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-04-2013 CDO18477 4,736.84 90,000.00
11-14-2014 CDO19912 24.86- 1,931 .48
04-30-2015 REFUND .00 34.96-
TOTAL TAX PAYMENT 96,608.50
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.