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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX _2 REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 280601 VCORDED OFFICE OF STATEMENT OF ACCOUNT
HARRISBURG PA 171 -0601
REGISTER OF WILLS
DATE 07-27-2015
?olS AUG 3 IPM 12 04 ESTATE OF HICKMAN REBEKAH E
DATE OF DEATH 12-31-2012
C€ E f'%K C F FILE NUMBER 21 13-0078
COUNTY CUMBERLAND
LUC I NDA 0 R PHHkCi*o�f, ACN 13102556
27 N "MTjfGTQN, `5�T �'
Amount Remitted
SHIPPENSBURG PA 17257-1420 1 1
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 --- ----- - ---- - ---
' - 7x-gf;TSTATEMENT OFk6CACCOUNTkHNffA:lN
EfA
i�47--1 AFP {12-14)717
ESTATE OF;HICKMAN REBEKAH E FILE NO. : 21 13-0078 ACN: 13102556 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: 07-22-2015
PRINCIPAL TAX DUE: .00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
TOTAL TAX PAYMENT .00
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.