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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT O F ACCOUNT
PO BOX 280601RECORDED OFFICE. OF
HARRISBURG PA 17128-0601
REGIS i EI' OF WILLS
DATE 07-27-2015
HIS AUG 3 AM 12 03 ESTATE OF HARBILAS TIMOTHY C
DATE OF DEATH 12-30-2009
C L DR', OF FILE NUMBER 21 10-0021
HARBIOR$)HAN';' CJ�OHM�T C COUNTY CUMBERLAND
ACN 101
33 6WHES�PC,OND� ST j7',4k
Amount Remitted
HARRISBURG PA 17101
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 t—
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REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT N;;
ESTATE OF:HARBILAS TIMOTHY C FILE NO. : 21 10-0021 ACN: 101 DATE: 07-27-2015
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: 05-18-2015
PRINCIPAL TAX DUE: 3,503.97
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
01-15-2015 CD020131 459.55- 4,952.74
07-10-2015 REFUND .00 989.22-
TOTAL TAX PAYMENT 3,503.97
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.