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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION E RD
Cih± LED $STA-TG€1IFr*T OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601 R E U IS T `, ('P7 !t V t1 L S
��1i��{{ DATE 06-22-2015
MIS AN 30 Pn 3 50 ESTATE OF HEINAMAN NANCY
DATE OF DEATH 03-01-2014
(1�t�ppCLEi%,, C)E FILE NUMBER 21 14-1099
PHILIP HEI�IAT4%1NH A NS r�� � COUNTY CUMBERLAND
ACN 14116253
5608 MORELAND CTUM0ERL4, Amount Remitted
MECHANICSBURG PA 17055-5434 1 �9
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:HEINAMAN NANCY FILE NO. : 21 14-1099 ACN: 14116253 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: 05-27-2015
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .00
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.