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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 6SSV STATEMENT OF ACCOUNT
HARRISBURG PA R&OnYWL )
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E OF
"�'�� DATE 05-18-2015
O�C i :i�� �� �� �2 ESTATE OF SHOLLEY LORRAINE D
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J i ; 1 M DATE OF DEATH 09-24-2014
FILE NUMBER 21 14-0932
L'-' CF COUNTY CUMBERLAND
SHOLLFIRjXtfq� CRAIG B ACN 101
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1681 % JJT,B.OTTOM RD . .
��++ jt Amount Remitted
CARLY LES "` PA 17015
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 FON FOR YOUR RECORDS _ 4—
REV-1607 E3(-WF;' C12-14)_ _ _ _ ** INHITANCE TAX STATEMENT OACCOUNT ** _ _ _ _ _ _ _
ESTATE OF:SHOLLEY LORRAINE D FILE NO. : 21 14-0932 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: 04-13-2015
PRINCIPAL TAX DUE: 13,868.97
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-05-2014 CDO19991 691.53 13,139.03
04-27-2015 CD020586 .00 38.41
TOTAL TAX PAYMENT 13,868.97
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.