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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 RECORDED OFTICE OF
REGI,STE,'Z OF WILIS DATE 09-14-2015
ESTATE OF VERDEKAL MARIA
?015 SEP 29 M 12 59 DATE OF DEATH 05-30-2014
FILE NUMBER 21 14-0644
C L LE,Tri i, 0 F COUNTY CUMBERLAND
ALBERT VERDEKAL ORPHANI'l' C 0'k', ACN 14144007
747 MOUNT ROCK RD I Amount Remitted
CARLISLE PA A I
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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ESTATE OF:VERDEKAL MARIA FILE NO. : 21 14-0644 ACN: 14144007 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: 06-29-2015
PRINCIPAL TAX DUE: 10.71
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
08-29-2015 CD021197 . 12- 10.83
09-11-2015 SBADJUST .00 .04
TOTAL TAX PAYMENT 10.71
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.