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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
REV-1607 EX AFP (12-14)
INHERITANCE Tv STATEMENT OF ACCOUNT
PO BOX 280601ffftWED OFFICE OF
HARRISBURG PA VM*ER OF WILLS
�(t ! i DATE 06-29-2015
?a1S lL U f�C 3 1 Z ESTATE OF HEBERLIG MILDRED C
J UE. pm i 1 DATE OF DEATH 10-01-2014
CLERK 1-1F
FILE NUMBER 21 14-0996
WAYNORPHA KN— E%'kCnCOUNTY CUMBERLAND
- ACN 14161589
226LWBRFX7Ht Kj v Amount Remitted
PO BOX 386
MOUNT WOLF PA 17347-0386
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:HEBERLIG MILDRED C FILE NO. : 21 14-0996 ACN: 14161589 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: 06-25-2015
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
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. (�
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