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� DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-o6aEGOKUEL� CUIC C 0[7
REGISTF'� "c I I'T 11—L ZS DATE 05-26-2015
1 n J2 ESTATE OF ESPENSHADE CONSTANCE M
?01S JUN 2 A,-,11-1 DATE OF DEATH 09-26-2013
FILE NUMBER 21 13-1093
C L E ,' F COUNTY CUMBERLAND
RADCLIFF En
p jjD,j ANE G 7
ACN 101
3448 TRI05
Amount Remitted
CAMP HILL' -PA 17011-4438
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 RETAIN LOWER PORTION FOR YOUR RECORDS 4-- --- - - - - --- -- - -
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INHERITANCE - :X fE;itif OF ACCOUNT iEW--1;6f EYWP�* (12-143 *7k"HikffN E fA
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ESTATE OF:ESPENSHADE CONSTANCE M FILE NO. : 21 13-1093 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: 03-02-2015
PRINCIPAL TAX DUE: 5,163. 16
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
10-24-2014 CDC19833 40.96- 5,204. 12
05-11-2015 CD020658 9.85- 9.85
TOTAL TAX PAYMENT 5,163. 16
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. 0