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;• DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP VENN)
INHERITANCE TAX DIVISION PO BOX 6T(�ej1TErNT0F ACCOUNT
HARRISBURG PA 17128-0601 V- t V OFFICE Q F
.tom!5 T E It} r ILIDATE 09-14-2015
ESTATE HOTE
?015 SEP 29 Pj 112DifE OFODEATH 05-25-2014 PAULINE K
FILE NUMBER 21 14-0675
CLEi',`\ OF COUNTY CUMBERLAND
KELLY JACQUELINA ORPHAN"T C;( URJACN 101
STE 12 Amount Remitted
845 SIR THOMAS CT CU�Sf3FZL�',���J �'�'• ��'�
HARRISBURG PA 17109-4843
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 _ F— _ _ _ _ _ _ _ _ _
REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:HOSTETLER PAULINE K FILE NO. : 21 14-0675 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: 1,435.04
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-13-2015 CD020507 5.53- 2,740.41
08-25-2015 REFUND .00 1,299.84-
TOTAL TAX PAYMENT 1 ,435.04
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. 4�