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'i DEPARTMENT OF REVENUE
BUREAU OF Plkl� �CI�UL'TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURTr M06018
12
77 DATE 06-01-2015
ESTATE OF MAXWELL WILMER B
r
DATE OF DEATH 04-05-2014
CEJEjgaf FILE NUMBER 21 14-0431
COUNTY CUMBERLAND
FLOWER THOMAS E ACN 101
10 W HIGH ST
Amount Remitted
CARLISLE PA 17013-2922
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 (--
-- - -- - --- -- -- -
ACCOUNT TAX O� CObif
WF;" cli:i7 -- -- I*;; INHERITANCE A:X
iiV*--li6f 6X 47)
ESTATE OF;MAXWELL WILMER B FILE NO. : 21 14-0431 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: 10,639.68_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-30-2014 CDO19360 531.98 10,300.00
05-18-2015 REFUND .00 192.30-
TOTAL TAX PAYMENT 10,639.68
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.