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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 280601 F I C E FATENENT OF ACCOUNT
HARRISBURG PA 17121ACORDED Or
REGISTER OF WILLS DATE 07-20-2015
NIS JUL 27 FM 2 07 ESTATE OF BATY MILDRED
DATE OF DEATH 07-02-2014
CLERK OF FILE NUMBER 21 14-0982
COUNTY CUMBERLAND
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JANET 0 R WYNS' I ACN 14141653
221 BONItY6WL*RRD�ND V., PA Amount Remitted
CARLISLE PA 17015-9286
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 W� cii:i4 --
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ESTATE OF:BATY MILDRED FILE NO. : 21 14-0982 ACN: 14141653 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: 25.73
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
07-02-2015 CD020936 .19- 25.92
TOTAL TAX PAYMENT 25.73
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.