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BUREAU OF INDIVIDUAL raxEs INHERITANCE TAX DEPARTMENT OF REVENUE
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INHERITANCE TAX DIVISION REV-1607 EX AFP (12-14)
PO BOX 2606A1� STATEMENT OF ACCOUNT
HARRISBURG ► t�a8?4��1� OFFICE O
RE01?ST`} OF V/1L _S DATE 08-31-2015
�R1r ��� ESTATE OF GIRONDI EVA R
J a, n 12 92 DATE OF DEATH 01-15-2010
FILE NUMBER 21 10-0160
ME SER ' vlFKARI E COUNTY CUMBERLAND
, ACN 101
351 1 0'N T�S T-'
Amount Remitted
HAIBIYRG �<
RA,x17110-1438
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 F-
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REV-1607 EX AFP (12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT **
ESTATE OF:GIRONDI EVA R FILE NO. : 21 10-0160 ACN: 101 DATE: 08-31-2015
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: 07-06-2015
PRINCIPAL TAX DUE: 4,293.65
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-29-2013 WRITEOFF .00 389.50
02-27-2015 CD020300 . 00 4,293.65
08-05-2015 CD021093 181 .67- 181.67
TOTAL TAX PAYMENT 4,293.65
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. \