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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 2806%
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REG I SJE'j (OF WILLS DATE 08-24-2015
ESTATE OF FEGAN HELEN L
HIS F-,.-IjG 31 FM 12 13 5 DATE OF DEATH 12-29-2014
FILE NUMBER 21 15-0115
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Amount Remitted
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MECHANICSBURG PA 17055-3851
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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 --i1 RETAIN LOWER PORTION FOR YOUR RECORDS --4-— - - - - -- - - - - - - - -
REV-1607 -E
- A7 - TE;ENT OF ACCOUNT
-X-j F�F;* -C 1 j174-)- - - - -*;; INHERITANCE f A:X 9fii
ESTATE OF:FEGAN HELEN L FILE NO. : 21 15-0115 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: 07-20-2015
PRINCIPAL TAX DUE: 2,743.56
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
01-30-2015 CD020184 131.58 2,500.00
03-19-2015 CD020373 5.60 118.56
08-07-2015 REFUND .00 12.18-
TOTAL TAX PAYMENT 2,743.56
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.