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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES - INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIv1S10N.,PO BOX STATEMENT OF ACCOUNT
HARRISBURG 6PA 17128-06d$E•CORDED OFFICE OF
REGISTER OF WILLS DATE 06-29-2015
ESTATE OF LEPPIN MATTHEW H
?015 AIL 6 Phi 3 11 DATE OF DEATH 09-28-2014
FILE NUMBER 21 14-0946
CLEFT( OF COUNTY CUMBERLAND
FLOWER ESQORPHATIVTOUR� ACN 101
10 W HIG}dUVBERIr PqDjAmount Remitted
CARLISLE1��13 'a922
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 (12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:LEPPIN MATTHEW H FILE NO. : 21 14-0946 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: 04-13-2015
PRINCIPAL TAX DUE: 27,142.63
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-08-2014 CD020002 1,315.79 25,000.00
06-16-2015 CD020843 .00 826.84
TOTAL TAX PAYMENT 27,142.63
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.