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DEPARTMENT OF REVENUE
BUREAU OF I N0&elPVRLD TAXES 'IFICE OF INHERITANCE TAX
REV 1607 EX AFP (12-14)
INHERITANCE TAX DIYJ
PO Box 280601R -C t L L S STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
?glS 2 RN 32 DATE 05-26-2015
ESTATE OF SMITH DUANE R
CF DATE OF DEATH 04-08-2014
FILE NUMBER 21 14-0694
0 R PH A'1, COUNTY CUMBERLAND
JANECUMBtS PETERMAN ACN 14137987
230 W WINONA ST —
Amount Remitted
PHILADELPHIA PA 19144-3949
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— - - - - -- - - -- ----
-
-f -iffiYE;iNf OF ACCOUNT INHERITANCE TAX AFP cii -17 -
6X 4),
ESTATE OF:SMITH DUANE R FILE NO. : 21 14-0694 ACN: 14137987 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: 05-26-2015
PRINCIPAL TAX DUE: .25
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
05-22-2015 SBADJUST .00 .25
TOTAL TAX PAYMENT .25
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.