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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
HARRISBUURGRG PPA 17128-0601
PD BOX
RECORDED OFFICE OF
A
REGISTER; OF WILLS DATE 07-27-2015
?O15 AUG 3 G m 1 ESTATE OF JOHNSON JACK E
12 03 DATE OF DEATH 12-06-2013
FILE NUMBER 21 13-1314
CLE K OF COUNTY CUMBERLAND
RICE ORFCNI ,I;S,TOtP HE nr ACN 101
10 E HIGH eT)MBE
i t �!Cl i - r7 Amount Remitted
CARLISLE A``170 3-30Y� -9
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 4—
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REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:JOHNSON JACK E FILE NO. : 21 13-1314 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: 06-29-2015
PRINCIPAL TAX DUE: 8,119.84
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-04-2014 CDO18840 368.42 7,000.00
09-02-2014 CDO19622 . 00 11000.00
07-13-2015 REFUND .00 248.58-
TOTAL TAX PAYMENT 8,119.84
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. �\