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' DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX - REV-1607 EX AFP EVENUE
INHERITANCE TAX DIVISION
PO BOX 28068 (� pQfi OFFICE
n STATEMENT OF ACCOUNT
HARRISBURG PA1�IQ6>060.1 V I' l� Q F
REGISTFIR OF WILLS DATE 08-03-2015
ESTATE OF GONTER JOHN R
?SIS AUG 12 Fin 1119 DATE OF DEATH 01-27-2013
FILE NUMBER 21 13-0165
CLERK CIF COUNTY CUMBERLAND
EN k�hhAARR:T E., FAVID
�rriF,�� ACN 101
Amount Remitted
CAMP HILL PA 17011-7490
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--
-EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:GONTER JOHN R FILE NO. : 21 13-0165 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: 05-01-2015
PRINCIPAL TAX DUE: 26,122.67
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-22-2014 CDO19702 .00 26,122.67
07-22-2015 CD021003 706.88- 706.88
TOTAL TAX PAYMENT 26,122.67
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. \