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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISIONPO BOX ��y STATEMENT OF ACCOUNT
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DATE 08-24-2015
? �S NUG 31 ii J�� ilC ESTATE OF STATHES MARJORIE V
DATE OF DEATH 06-27-2014
FILE NUMBER 21 14-0640
CLEF,:', COUNTY CUMBERLAND
STATHESOR� �it, ,JAM'E'S j P ACN 101
226 W
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�1t3� � ,. Amount Remitted
CAMP L` PA 17011-2641
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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REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:STATHES MARJORIE V FILE NO. : 21 14-0640 ACN: 101 DATE: 08-24-2015
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: 07-27-2015
PRINCIPAL TAX DUE: 16,867. 11
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-25-2014 CDO19720 843.36 16,087. 14
08-10-2015 REFUND .00 63.39-
TOTAL TAX PAYMENT 16,867. 11
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. (�\
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