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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION REV-1607 EX AFF (12-14)
PO BOX 28001 C,154A
HARRISBURG6PA ,,2,-,6,,REC0rKr--D Fl - - ',�-EMENT OF ACCOUNT
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REGI'57'.7 . 7
DATE 06-01-2015
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?glS Ujj 8 F jTl 12 ESTATE OF MESSICK BETTY A
DATE OF DEATH 07-18-2010
C L E FILE NUMBER 21 11-0530
COUNTY CUMBERLAND
MYERS ORiEPMUND* ACN 501
301 MARKETATF,=r
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PO BOX 109 "'U Amount Remitted
LEMOYNE PA 17043-0109 1
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
I INHERITANCE -f
-il7F;" ili:17 -
kii--liif 6X 4) WH i i ffA�N E Al STATEMENT OF ACCOUNT
ESTATE OF:MESSICK BETTY A FILE NO. : 21 11-0530 ACN: 501 DATE: 06-01-2015
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: 02-17-2015
PRINCIPAL TAX DUE: 445.73
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
10-14-2014 CDO19796 .00 492.37
05-13-2015 REFUND .00 46.64-
TOTAL TAX PAYMENT 445.73
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.