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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION A.r6OUNT
PO BOX 28060 RT-ATE
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HARRISBURG PA 17128-0601 REGISTits l OF WILLS
DATE 09-14-2015
-1 01 5 SEP 29 p1l 1 ST6TEAYLJ OF ODEATH 09-F SAPHO15-R2014 E JR DANIEL W
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C L E ki, OF FILE NUMBER 21 14-0980
1
COUNTY CU
HARTMAN SUSAN i ORPHANS' COti4CN 101MBERLAND
1 IRVINE ROW CUMBERLAND CO., PA Amount Remitted
CARLISLE PA 17013-3019
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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 kHiiffA7E fA
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INHERITANCE-- �X FEANf OF iC COBAf
iiV--l;if EX AFP Ili 1747)-----*;;
ESTATE OF:SAPHORE JR DANIEL W FILE NO. : 21 14-0980 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: 8,053.70_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
11-05-2014 CDO19880 402.69 81000.00
08-31-2015 REFUND .00 348.99-
TOTAL TAX PAYMENT 8,053.70
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.