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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
PONBOXTANCE 280601AX DIVISION REC613DsfiAT[ r I
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N.T OF ACCOUNT
HARRISBURG PA 17128-0601 REGISTER
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p �p DATE 06-22-2015
�U�S 'UN 3Q PJ i � �� DATE TOFODEATH 12L02R2012 JEAN
Uh FILE NUMBER 21 12-1330
fir�In , COUNTY CUMBERLAND
SPECTOR IREN COURT ACN 101
807 BRIARWOOD LN CUMSEti[A,;D Co
ptCAMP HILL PA 17011-1514 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 4- - - - - -
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REV-1607 EX AFP (12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:MILLER JEAN FILE NO. : 21 12-1330 ACN: 101 DATE: 06-22-2015
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: 05-26-2015
PRINCIPAL TAX DUE: 13,182.55
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-01-2013 CDO17255 659. 13 13,500.00
06-08-2015 REFUND .00 976.58-
TOTAL TAX PAYMENT 13,182.55
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.