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' DEPARTMENT OF REVENUE
BUREAU OF INDIVIPUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERIT NGE~TA)(DIVI�ION STATEMENT OF ACCOUNT
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DATE 05-26-2015
ESTATE OF WOODWORTH ROBERT J
DATE OF DEATH 06-08-2013
FILE NUMBER 21 13-0660
COUNTY CUMBERLAND
� � . OTTO III IVO V ACN 101
:10 E HIGH ST
CARLISLE PA 17013-3015 Amount Remitted
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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REV-1607 EX AFP {12-14? *�(* INHERITANCE TAX STATEMENT OF ACCOUNT *
ESTATE OF:WOODWORTH ROBERT J FILE NO. : 21 13-0660 ACN: 101 DATE: 05-26-2015
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: 04-27-2015
PRINCIPAL TAX DUE: 5,160.86
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT {+}
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
08-22-2013 CDO18054 258.04 15,000.00
05-05-2015 REFUND .00 10,097. 18-
TOTAL TAX PAYMENT 5,160.86
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. "�\