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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX bw/ REV-1607 EX AFP REVENUE
INHERITANCE T/\X EAV-1S
�R?R?��� 2Bur6W I-1�t u STATEMENT OF ACCOUNT
REC`NA BbkG PA 17125-
I L
712B-IL
DATE 06-15-2015
?nIJ UUN C2 G� 12 25 ESTATE OF SWARTZ SARA A
U DATE OF DEATH 02-27-2014
C} FILE NUMBER 21 14-0281
oRpHt,tcD�LrUGAt�ESQ ADAM R COUNTY CUMBERLAND
1 ACN 101
�, i3t7 X6.1? W (L�bUTiH+ER ST Amount Remitted
CARLISLE PA 17013-2987
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 —1 RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SWARTZ SARA A FILE NO. : 21 14-0281 ACN: 101 DATE: 06-15-2015
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: 03-23-2015
PRINCIPAL TAX DUE: 9,924.60
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
05-27-2014 CDO19202 263. 16 51000.00
11-21-2014 CDO19955 .00 4,554.23
04-01-2015 CD020437 1 .10- 108.42
TOTAL TAX PAYMENT 9,924.71
BALANCE OF TAX DUE . 11CR
INTEREST AND PEN. .00
TOTAL DUE
. 11CR
* 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.