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*1" DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601 RECDRDED OFFICE OF
REGIS)TER OF WILLS
DATE 09-14-2015
ESTATE OF MOYER ANN F
?015 SEP 29 p 12 58PATE OF DEATH 10-31-2014
FILE NUMBER 21 14-1062
FLOWER THOMAS E C L rE f OF COUNTYCUMBERLAND
FLOWER LAW LLC ORPHANS' COUPT ACN 101
10 W HIGH ST CUMBERLAND CO., PA Amount Remitted
CARLISLE PA 17013-2922
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 --0, RETAIN LOWER PORTION FOR YOUR RECORDS #-- -- --- -- -- --- - -
REV-1607 EX AFP A� -if E;
- --- - - INHERITANCE X STATEMENT 'b� lkeeobif
174) WH i i ffA7N E f
ESTATE OF:MOYER ANN F FILE NO. : 21 14-1062 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: 34,425.46_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
01-22-2015 CD020151 1,721.27 34,484.83
08-25-2015 REFUND .00 1,780.64-
TOTAL TAX PAYMENT 34,425.46
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.