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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
STATEMENTPO BOX 280601 OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 06-22-2015
RECCRUEU OFFICE OF ESTATE OF BRINTON GERALD S
RECISTE7? OF :.TILLS DATE OF DEATH 04-20-2013
FILE NUMBER 21 13-0542
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NEW CUMBERLAND PA 17070-4§271,e\ U,1' (�yy Amount Remitted
0RPHANS' COURT
CUM"BERiLAND CC Ft1 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
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REV-.1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT **
ESTATE OF:BRINTON GERALD S FILE NO. : 21 13-0542 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: 05-11-2015
PRINCIPAL TAX DUE: 33,788.36
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-12-2013 CDO17876 1,578.95 30,000.00
12-06-2013 CDO18508 .00 244.51
12-11-2014 CD020025 .00 1,964.90
06-10-2015 CD020814 52.36- 52.36
TOTAL TAX PAYMENT 33,788.36
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.
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