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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 RE CST ANTIPATEAT COF0 ftCCOUNT
HARRISBURG PA 17128-0601 REGISTER ',DF WILLS
DATE 09-14-2015
�IQESTATE OF WAGNER RICHARD i
?015 S)EP 29 Pil 12 Ij
DATE OF DEATH 01-23-2015
CLE,tK OF FILE NUMBER 21 15-0308
RAMAH L FULTON ORPHANSCO*,Jt'?-!- COUNTY CUMBERLAND
2002 PRINCETON AVE CUMBERLP A Nl D ACN 15107342
CAMP HILL PA 17011-5442 Amount Remitted
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 --- --- --------- --
-W� (H:174)- - --- INHERITANCE-fA�X STATEMENT 11 F ACCOUNT
i9V--1;if 6X *;;
ESTATE OF:WAGNER RICHARD J FILE NO. : 21 15-0308 ACN: 15107342 DATE: 09-14-2015
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: 07-13-2015
PRINCIPAL TAX DUE: 1,147.20_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
03-24-2015 CD020399 57.36 1,147.20
08-27-2015 REFUND .00 57.36-
TOTAL TAX PAYMENT 1,147.20
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.