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F DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP EVENU)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-ORgffCORDED OFFICE OF
REGISTER OF WILLS DATE 07-06-2015
ESTATE OF BURK RENA G
1015 AIL 13 P[j 12 Q8 DATE OF DEATH 06-01-2013
O FILE NUMBER 21 13-0799
(�} COUNTY CUMBERLAND
DIEHL ES �1�u�^�"CRRI�� A, ACN 101
3464 TRI �t'9Z'DA4S, COURT Amount Remitted
CAMP HAA ERLMP9p. (}r�01II�443G
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:BURK RENA G FILE NO. : 21 13-0799 ACN: 101 DATE: 07-06-2015
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: 03-27-2015
PRINCIPAL TAX DUE: 15,899.92
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-19-2014 CDO19581 .00 51000.00
03-27-2015 CD020426 419.58- 11,378.00
0-6-16-2015 REFUND .00 58.50-
TOTAL TAX PAYMENT 15,899.92
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. 0