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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 -L t ATEMENT OF ACCOUNT
HARRISBURG PA 17128-REC 0 F��)E� C 17-1 E OF
R E G!:')T I R `F VJ LLS DATE 05-26-2015
ESTATE OF JONES JEANETTE E
HIS JUN 2 9 Fi 1 11 32 DATE OF DEATH 05-05-2014
Cl ET,- FILE NUMBER 21 14-0565
COUNTY CUMBERLAND
DOUGLAS I6R[Fjs,qREORGEI -F
ACN 101
354 ALE�t�DERSPRLNG RD
CARLISL PA 17015=7451 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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ESTATE OF:JONES JEANETTE E FILE NO. : 21 14-0565 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: 2,258.84
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
07-29-2014 CDO19487 112.94 2,150.00
05-11-2015 REFUND .00 4. 10-
TOTAL TAX PAYMENT 2,258.84
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.