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BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1607 EX AFP (12-14)
PO BOX 2B0601 '' - *USTATEMENT OF ACCOUNT
HARRISBURG PAREAQED OFFICE OF
REGISTER OF WILLS DATE 07-20-2015
RUHO
?015 JUL 27 PM 2 07 DATEESTATE OFOF DEATH 03510-2013 HOMER W
FILE NUMBER 21 13-0357
CLERK OF COUNTY CUMBERLAND
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Amount Remitted
PO AND 1'110- PA
HARRISBURG PA 17112-0216
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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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ESTATE OF:RUSHO HOMER W FILE NO. : 21 13-0357 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: 3,855.60
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
12-09-2013 CDO18511 .00 4,150.00
07-06-2015 REFUND .00 294.40-
TOTAL TAX PAYMENT 3,855.60
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.