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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX m REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
STATEMENT OF ACCOUNT
PO BOX 280601
UORDED OFFICE Or
HARRISBURG PA 17128-4h
.REGIS)TLF' �,117 WILLS DATE 08-31-2015
HIS SEP 8 P n 12 9 2 ESTATE OF POWELL NANCY L
DATE OF DEATH 05-13-2013
C L E-T 3': FILE NUMBER 21 14-0514
COUNTY CUMBERLAND
LISA 0 Pk,PFV Wt4
,KEN9'INDEk- ACN 13130326
196 MOUe".,,I[N�VfEW-ARD
_�,L-- , I .; Amount Remitted
MT HOLLY SPGS PA 17065-1526 1
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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ESTATE OF:POWELL NANCY L FILE NO. : 21 14-0514 ACN: 13130326 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: 08-22-2014
PRINCIPAL TAX DUE: 547.94_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
10-03-2014 CDO19756 9.35- 557.29
08-28-2015 SBADJUST .00 1 .07
TOTAL TAX PAYMENT 547.94
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.