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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 2 STATEMENT OF ACCOUNT
HARRISBURjt0l0&DF5DOFFICE OF
REGISTER OF WILLS DATE 07-20-2015
STAIGR
HIS JUL 27 PM 2- 07 DATEESTATE OFOF DEATH 01-15-E2013 SUZANN S
FILE NUMBER 21 13-0282
CLERK OF COUNTY CUMBERLAND
ST SCOTT
ACN 101
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E * AU 0Amount Remitted
MAKE
Pk 17043-1022 _7
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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E7X 4) STATEMENT OF ACCOUNT * *
ESTATE OF:STAIGER SUZANN S FILE NO. : 21 13-0282 ACN: 101 DATE: 07-20-2015
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: 06-22-2015
PRINCIPAL TAX DUE: 23,138.27_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-09-2013 CDO17421 1,156.91 24,000.00
07-02-2015 REFUND .00 2,018.64-
TOTAL TAX PAYMENT 23,138.27
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.