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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 Ex AFP (12-14)
INHERITANCE rax DIVISION STATEMENT OF ACCOUNT
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HARRISB U YA'rV' 0'i-0603 O F F I C E Q F
RiG''{S 1 sY le LSDATE 06-15-2015
ESTAMUAY
?015 JUN 22 i 12 ?JC DATETOFODEATH 03R19-2014 DOROTHY L
FILE NUMBER 21 14-0318
CLET, 0 COUNTY CUMBERLAND
JOK.OFFOESQ)lJELLIOT A ACN 101
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r''MARR4--S"' RGD C'O•' FP'A 17101-1227 Amount Remitted
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 F
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REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:MURRAY DOROTHY L FILE NO. : 21 14-0318 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: 05-04-2015
PRINCIPAL TAX DUE: 84,591. 11
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-16-2014 CDO19311 4,210.53 80,000.00
05-29-2015 CD020757 4.93- 385.51
06-12-2015 SBADJUST .00 .09
TOTAL TAX PAYMENT 84,591 . 11
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.