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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 1]128-0601
STAffNT> >D.f~,~,~I OUNT
,...../
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-160] EX AFP (12 -11)
;'~~ ° ~,, A-TE C15-21-2012
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` STATE OF BANTZ JAMES C
r~ F._,-..~ ~- DATE OF DEATH Oil-09-2011
'~ FILE NUMBER 'e'1 11-1162
O11FI'1"')~ ~,,;;J`i~OUNTV CUMBERLAND
KEITH 0 BRENNEMAN CUMr~~~t ,,-i(~U (~(~_ ~N a .i 12000742
SNELBAKER AND ASSOC Amount Remittetl
44 W MAIN ST
MECHANICSBURG PA 17055-7400
MAKE CHECK PAYABLE AND REMIT PAYMENT 70:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
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 RECI7RDS ~
REV-1607 EX AFP C12-11J ~~~ INHERITANCE TAX STATEMENT OF ACI'O UNT ~~^
ESTATE OF:BANTZ JAMES C FILE N0.: 21 11-1162 ACN: 12000742 DATE: 05-21-2012
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, ip PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-14-2012
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT
DATE I RECEIPT
NUMBER I DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
10-31-2011 CD015139 .00 3,318.75
18.75
TOTAL TAX PAYMENT 3,318.75
BALANCE OF T'AX DUE .00
INTEREST AN1D PEN. ~ .00
TOTAL DIVE
00
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR LAICULATIDN 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. bL