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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX T REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO RBOX 'OBU4oQFFICE OF STATEMENT OF ACCOUNT
HARISBMA
REGISTER OF WILLS DATE 07-20-2015
ESTATE OF SULLIVAN NANCY C
HIS JUL 27 IFM 2 07 DATE OF DEATH 05-13-2014
FILE NUMBER 21 14-0508
C L E F;K O.'i COUNTY CUMBERLAND
WCHAN, rl !- CRAIG A
Q I ACN 101
INER HATCH , GUISE Amount Remitted
2100' ALAigKi- &ST'
CAMP HILL PA 17011-4723
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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ESTATE OF:SULLIVAN NANCY C FILE NO. : 21 14-0508 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: 06-15-2015
PRINCIPAL TAX DUE: 3,687.84
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
08-08-2014 CDO19522 184.39 6,000.00
07-01-2015 REFUND .00 2,496.55-
TOTAL TAX PAYMENT 3,687.84
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.