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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX —�
REV-1607 EX AFP (12-14)
INHERITANCE rax o1v�sCORQEp OFFICE pF TATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
REGISTER OF WILLS DATE 06-29-2015
KHN
?015 AL 6 PM 3 12 DATETOFODEATH 05-02-2014 KHALIL A
FILE NUMBER 21 14-0441
CLERK OF COUNTY CUMBERLAND
NABIL 0RAH10AN' CGU;RT ACN 14136924
407 MOUMIMPEAND (,G PA Amount Remitted
MEtHANICSBURG PA 17056-5273
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 E-
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REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:KHAN KHALIL A FILE NO. : 21 14-0441 ACN: 14136924 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: 05-26-2015
PRINCIPAL TAX DUE: 36.41
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-17-2015 CD020856 .00 36.41
06-26-2015 SBADJUST .00 .40
TOTAL TAX PAYMENT 36.41
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. #1