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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601 RECORDED --FFi-,-E Or.
REGI T 7 f1 V# DATE 05-.18-2015
WILLS ESTATE OF SHIELDS CHARLES E
ATE OF 09-13-2013
MIS flff 26 PN 12 52 FILE NUMBERDEATH 21 13-1019
COUNTY CUMBERLAND
SHIELDS III �R'L ES)F E ACN 101
6 CLOUSER R-GRPHANs'
itwe—j- PA Amount Remitted
MECHANICS
�-7055-97151
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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 --10 RETAIN LOWER PORTION FOR YOUR RECORDS 4
REV-1507 - -f -9fi* ' ;&if OF kCCObAfREV-15076X-iFFFcii:i747)- NE TAX T1
ESTATE OF:SHIELDS CHARLES E FILE NO. : 21 13-1019 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: 03-09-2015
PRINCIPAL TAX DUE: 53,303.99
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-04-2013 CDO18494 11000.00 19,000.00
06-11-2014 CDO19289 .00 31,500.00
10-29-2014 CDO19853 20.41- 2,051.80
05-01-2015 REFUND .00 227.40-
TOTAL TAX PAYMENT 53,303.99
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.