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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION@�ATEMENT OF ACCOUNT
PO BOX 280601 OFFICE
HARRISBURG PA 17128-DUCORDED
REGIS)TER ',,F WILLS DATE 08-31-2015
ESTATE OF RUGGIERI JOAN
Ep PM 12 9Z DATE OF DEATH 01-10-2013
FILE NUMBER 21 14-1155
COUNTY CUMBERLAND
ANNE ACN 14101307
620 GARR9UTRNt3[RRLA,T Amount Remitted
YORK HAV PA 17370-9160 F--
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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W�* -77- -fkHiiffA:NE TAX STATEMENT ACCOUNT-liif
ESTATE OF:RUGGIERI JOAN FILE NO. : 21 14-1155 ACN: 14101307 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: 05-04-2015
PRINCIPAL TAX DUE: 52.56_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+3 AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-10-2015 CD021100 2.84- 55.40
08-21-2015 SBADJUST . 00 .04
TOTAL TAX PAYMENT 52.56
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. 0