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� DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 28 STATEMENT OF ACCOUNT
HARRIlBUR=QQR4FA9 OFFICE OF
REGISTER OF WILLS DATE 08-03-2015
ESTA
?015 AUG 12 Fn 111 19 DATETE OFOF DEATH 03-MILLE02-R 2015 PEGGY A
FILE NUMBER 21 15-0591
CLEfOl\ Oi� COUNTY CUMBERLAND
RUOIRPHAN"c"i (GARDNER
ACN 15124714
X F-GR D CT
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Amount Remittedt , Pk 17015-7612
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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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ESTATE OF:MILLER PEGGY A FILE NO. : 21 15-0591 ACN: 15124714 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: 07-20-2015
PRINCIPAL TAX DUE: 12.57
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
05-26-2015 CD020756 .63 53.39
05-26-2015 CD020735 .00 38.09
TOTAL TAX PAYMENT 92.11
BALANCE OF TAX DUE 79.54CR
INTEREST AND PEN. .00
TOTAL DUE 79.54CR
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. 0