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~ - REY-1687 EX AFP (12-11)
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HARRISBURG PA 17128-0601
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DATE 02-06-2012
ESTATE OF TEZAK JR FRANK J
C~~~K C~ DATE OF DEATH 11-16-2011
Q~P~.~~~ ~Q~J~T FILE NUMBER 21 11-1333
CUNft~~ R!._A,~J,~ {~O , PA COUNTY CUMBERLAND
DIANE L MAHONEY ACN 11178997
605 VIA CHRIS CT
Amount Remitted
DEBARY FL 32713-5426
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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 ~•
REV-1607 EX AFP C12-11~ *** INHERITANCE TAX STATEMENT OF ACCOUNT **~
ESTATE OF:TEZAK JR FRANK J FILE NO.: 21 11-1333 ACN: 11178997 DATE: 02-06-2012
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: 01-30-2012
PRINCIPAL TAX DUE: 110.33
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-11-2011 PR002114 5.52 110.33
TOTAL TAX PAYMENT 115.85
BALANCE OF TAX DUE 5.52CR
INTEREST AND PEN. .00
TOTAL DUE
^ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
5.52CR