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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 ;:Fi-�: OFSSTATEMENT OF ACCOUNT
HARRISBURG PA 171= nF" C
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REDATE 05-26-2015
ESTATE OF MCCULLOUGH LOIS H
ZOIS JUN 32 DATE OF DEATH 03-21-2014
- FILE NUMBER 21 14-0519
I
COUNTY CUMBERLAND
OSZUSTOWN-T HA I$J 0 HN C ACN 101
104 S ttNpyf-R,1ST'
CARLISLE I Ld PA 17013-3420 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— - - --- - - - - - - - - -
ACCOUNT
C70;if
EX AFP cii:i747)- - - - -* i k f fA:N A�X
ESTATE OF:MCCULLOUGH LOIS H FILE NO. : 21 14-0519 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: 98,240. 03
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
05-28-2014 CDO19207 4,912.00 94,000.00
05-11-2015 REFUND .00 671 .97-
TOTAL TAX PAYMENT 98,240.03
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.