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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
HARRISBUURGRG PPA
Po BOX A 17 BJEC60DED OFFICE OF
REGISTER OF !ILLS DATE 07-27-2015
YOUM
?015 AUG 3 PM 12 03 DATETOFODEATH 05-17-2014 DANA S
FILE NUMBER 21 14-0602
CLERK OF COUNTY CUMBERLAND
WEIGLE (WFlANSdEURuYRT ACN 101
126 E��C JT A N D ,�y 0A
Amount Remitted
SHIPP f t`° 'P '1725-7-132617257-1326
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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REV-1607 EX AFP (12-14 *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:Y000M DANA S FILE NO. : 21 14-0602 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: 13,636.25
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-12-2014 CDO19550 681 .81 15,855.44
07-06-2015 REFUND .00 2,901 .00-
TOTAL TAX PAYMENT 13,636.25
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. ^�