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� DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 2806
HARRISBURG FtELAQOZO�17 7D C F E Ci
DATE 06-01-2015
111 jl� 8 FFI 12 21ESTATE OF WILSON PATRICIA M
U, DATE OF DEATH 03-24-2014
FILE NUMBER 21 14-0307
C LE COUNTY CUMBERLAND
ROTH6&j 101
#I�R GARY L ACN
STS
l 5 Amount Remitted
22 l5i''
HILLS DR
HARRISBURG PA 17112-1099
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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6X 4) 17NHiiffA7NE TAX TIE
ESTATE OF;WILSON PATRICIA M FILE NO. : 21 14-0307 ACN: 101 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: 05-04-2015
PRINCIPAL TAX DUE: 4,219.60
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-16-2014 CDO19307 210.98 4,800.00
05-18-2015 REFUND .00 791 .38-
TOTAL TAX PAYMENT 4,219.60
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.