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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 qj;8qORDC-D G17FICE OF STATEMENT OF ACCOUNT
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HARRISBURG PA 0601 -F VILLS
REGIS,TL'0' , I-
DATE 05-26-2015
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1UN Fl ESTATE OF AMIG DONNA B
DATE OF DEATH 01-01-2014
FILE NUMBER 21 14-0011
COUNTY CUMBERLAND
REYES LAURA C ACN 101
1119 �kj T',ST -
Amount Remitted
HARRISBURG PA 17102-3318
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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EX AFP (12-14) kHikffANEAXfiTl;Eif O� ACCOUNT
ESTATE OF:AMIG DONNA B FILE NO. : 21 14-0011 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: 03-16-2015
PRINCIPAL TAX DUE: 1,766.70
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-01-2014 CDO19745 .00 1,396. 12
04-02-2015 CD020450 5.56- 376.29
TOTAL TAX PAYMENT 1,766.85
BALANCE OF TAX DUE .15CR
INTEREST AND PEN. .00
TOTAL DUE . 15CR
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.