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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION REV-1607 EX AFP (12-I4)
PO BOX 280601)\ STATEMENT OF ACCOUNT
HARRISBURG Pp1 � QE� OFFICE 0F
REGI ITER U WILLS
DATE 08-03-2015
?0I5 NG 12 FM 1 119 ESTATE OF NOSS WAYNE E
DATE OF DEATH 12-02-2012
FILE NUMBER 21 12-1344
GL�k''' �f COUNTY CUMBERLAND
N O S SJJQj(��,�R�jjP�H At ' T,IM ACN 101
18 ME�NA•►�ICSB�URG'D' (`rPA .17055 Amount Remitted
1 �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—
REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT **
ESTATE OF:NOSS WAYNE E FILE NO. : 21 12-1344 ACN: 101 DATE: 08-03-2015
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: 35,949.20
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-31-2013 CDO18597 .00 27,500.00
01-12-2015 CD020120 .00 6,189.38
01-12-2015 CD020121 .00 2,259.82
07-22-2015 CD020996 614.94- 614.94
TOTAL TAX PAYMENT 35,949.20
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.