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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX E 0 STATEMENT OF ACCOUNT
PO BOX 201�?
HARRISBU G 71e�=�0601 S
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DATE 05-26-2015
U
701S rK ESTATE OF BURK RENA G
DATE OF DEATH 06-01-2013
FILE NUMBER 21 13-0799
C COUNTY CUMBERLAND
D I&I P!-S'�' GPA CRAIG A ACN 101
RD Amount Remitted
CAMP HILL PA 17011-4436
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 -- - - -- - - - - - - - - - -
--f -HC I ACCOUNT-&-HHHAE TAX 71;i�f O�
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ESTATE OF:BURK RENA G FILE NO. : 21 13-0799 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: 03-27-2015
PRINCIPAL TAX DUE: 15,899.92
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-19-2014 CDO19581 .00 5,000.00
03-27-2015 CD020426 419.58- 11,378.00
TOTAL TAX PAYMENT 15,958.42
BALANCE OF TAX DUE 58.50CR
INTEREST AND PEN. .00
TOTAL DUE 58.50CR
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.