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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 fl SffpA'v,E ,ENT GOF NCCIONT
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HARRISBURG PA 17128-0601 L t:
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CLT r [; JF FILE NUMBER 21 13-0538
COUNTY CUMBERLAND
KLINGER DANIEL E ORP�friPd�' nv'�i'AN 101
22 CEDAR CLIFF DR CUMBER!_A', C, PA Amount Remitted
CAMP HILL PA 17011-7601
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 _ _�_ _ RE_TAIN LOWER PORTION FOR YOUR RECORDS _ 4—
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REV-1607 EX AFP C12-14) ** INHERITANCE TAX STATEMENT OF ACCOUNT **
ESTATE OF:KLINGER ROY E FILE NO. : 21 13-0538 ACN: 101 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: 08-17-2015
PRINCIPAL TAX DUE: 6,204.04
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-24-2015 CD020416 .00 6,204.04
08-31-2015 CD021205 211 . 12- 211 . 12
TOTAL TAX PAYMENT 6,204.04
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. ,`1