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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERIT/4l L�Eo- ( 0�VSO�r (v F REV-1607 EX AFP (12-14)
PO Box 2a0`60I STATEMENT OF ACCOUNT
HARRISBUf� jtliB=0601,D V!!ULS
JUN C2 GM 12 [rj DATE 06-15-2015
ESTATE OF MURRAY DOROTHY L
DATE OF DEATH 03-19-2014
CLER:' Or FILE NUMBER 21 14-0318
ORPHANS' COUj COUNTY CUMBERLAND
O ��OJCC)FF„ES Q_ i. EL�IOT A ACN 101
E'ST:, .,., t',;
Amount Remitted
HARRISBURG PA 17101-1227
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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ESTATE
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” (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.