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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXESRECr f I 1�INHERIM-ANCEOFTAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION "
PO BOX 280601 ! OF ACCOUNT
HARRISBURG PA 17128-0601 Rt 0I F �l i L17
,?OIS S)EP, 24 P11 12 WE 09-14-2015
ESTATE OF MILLER RAY K
C LEI\',,, 0 F DATE OF DEATH 07-01-2014
CO3 -,I•FILE NUMBER 21 14-0638
0 R P H A COUNTY CUMBERLAND
NAYLOR ESQ TRICIA PUMBERLAIND Crl- i" 101
�AdN
19 W SOUTH ST Amount Remitted
CARLISLE PA 17013-3445
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 E-- - -- - ----- - ----
-STATEMENT* I l
--- --- INHERITANCE- -TAX : O� ACCOUNT **
i�V--l;if EX AFP lcli:i74) *;; :
ESTATE OF:MILLER RAY K FILE NO. : 21 14-0638 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: 08-10-2015
PRINCIPAL TAX DUE: 47,441 .20_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-01-2014 CDO19739 2,372.06 49,400.00
08-25-2015 REFUND .00 4,330.86-
TOTAL TAX PAYMENT 47,441.20
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" CCR), YOU MAY BE DUE A REFUND* SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. �D\