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— iiDEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE Tax DIVISION
PD BOX 280601 S TAT E M E N T OF ACCOUNT
HARRISBURG PA 17128-0601
� � DATE 08-17-2015
RECQRDQ
R ECISTFR OF WILLS DATETOFODEATH 12-03 -2014 BETTY J
FILE NUMBER 21 14-1223
?015 9UG 26 cM 3 37000NTY CUMBERLAND
NOEL IV ESQ JAMES K ACN 101
STE 200 CLEi K ('tF Amount Remitted
570 LAUSCH LN ORPHA j'
LANCASTER PA 1TAOB76�ki1
tl'� f %ti 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
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REV-1607 EX AFP (12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT N;;
ESTATE OF:ADRIAN BETTY J FILE NO. : 21 14-1223 ACN: 101 DATE: 08-17-2015
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: 08-10-2015
PRINCIPAL TAX DUE: 8,694.00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-24-2015 CD020288 434.70 8,336.25
TOTAL TAX PAYMENT 8,770.95
BALANCE OF TAX DUE 76.95CR
INTEREST AND PEN. .00
TOTAL DUE
76.45CR
* 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.