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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 09-08-2015
RECORDED OFFICE OF ESTATE OF PRIEST HAZEL A
If LLS DATE OF DEATH 07-13-2014
FILE NUMBER 21 14-0689
COUNTY CUMBERLAND
?01§Tq, �F ji� l'OLA 5 11D H ACN 101
414 BRIDGE ST Amount Remitted
NEW %U -RL)(Nb PA 17070-1927
ORPHAt,o
Aoi 11-, MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
CUMBERLl.,f
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 RETAIN LOWER PORTION FOR YOUR RECORDS 4— - -- - -- -- - - - - - -
-INHERITANCE- - -f
-W�* cii:i7 - A�X ifk fkAbif OF ACCOUNTiiV--1;5f 6X 4)
ESTATE OF:PRIEST HAZEL A FILE NO. : 21 14-0689 ACN: 101 DATE: 09-08-2015
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: .00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
10-03-2014 CDO19757 .00 150.00
08-24-2015 REFUND .00 150.00-
TOTAL TAX PAYMENT .00
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.