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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION QT T E M E N T OF ACCOUNT
PO BOX 280601 �y�A
HARRISBURG PA 17128-agCORDED OFFICE
REGISTER CF WILLS DATE 08-10-2015
MINIH
HIS RUG 17 PFI 12 318 DATEESTATE OFOF DEATH 06-N23-C2014 ANN D
FILE NUMBER 21 14-0667
C L E-Ir , COUNTY CUMBERLAND
BRENNEMAN CRSIQH,'VITHl 0 ACN 101
44 W MAT,- Amount Remitted
MECHANICS %-
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— -- - ----- ---- --
REV-1607 3 ifkVkAi4f b� iC
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ESTATE OF:MINNICH ANN D FILE NO. - 21 14-0667 ACN: 101 DATE- 08-10-2015
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: 07-13-2015
PRINCIPAL TAX DUE: 31,844.25_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
09-23-2014 CDO19708 1,052.63 20,000.00
04-13-2015 CD020495 18.58- 10,844.25
07-27-2015 REFUND .00 34.05-
TOTAL TAX PAYMENT 31,844.25
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.