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RECORDED OFFICE OF DEPARTMENT OF REVENUE
BUREAU OF INDIVIITAYeErSR INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVAtiJ? R OF SILLS STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA JUL171�8�0601_ � ��
((UU�� J[J[ 3 12 DATE 06-29-2015
CLERK OF ESTATE OF GEORGE DARRYL E
ORPHANS' COLD-,T DATE OF DEATH 11-05-2012
FILE NUMBER 21 12-1182
CUMBERL;. tD C K-. A COUNTY CUMBERLAND
BUCKLEY JOSEPH D ACN 101
1237 HOLLY PIKE
Amount Remitted
CARLISLE PA 17013-4435
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 C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:GEORGE DARRYL E FILE NO. : 21 12-1182 ACN: 101 DATE: 06-29-2015
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-: 09-02-2014
PRINCIPAL TAX DUE: 14,402. 13
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-04-2012 CDO16874 394.74 7,500.00
09-18-2014 CDO19692 218.24- 6,728.84
06-09-2015 REFUND .00 3.21-
TOTAL TAX PAYMENT 14,402.13
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. 6n\