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BUREAU OF INDIVIDUAL
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INHERITANCE TAX DIVISION
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~ATEMENT OF ACCOUNT REV-1607 EX AFP (12-1ll
HARRISBURG PA 17128-0601 ,
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GENEVIEVE KC~f~F2~j~'~jG (J~., PA
201 CLAY AVE # 2
ENOLA PA 17025
DATE 11-05-2012
ESTATE OF HANZLIK ROBERT F
DATE OF DEATH 04-04-2011
FILE NUMBER 21 11-0680
COUNTY CUMBERLAND
ACN 11136373
Amount Remitted
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 - - _ _'-~_ RE_TAIN LOWER PORTION FOR YOUR RECORDS _ ~ _ _
REV-1607 EX AFP C12-11) *~~ INHERITANCE TAX STATEMENT OF ACCOUNT *~* -
ESTATE OF:HANZLIK ROBERT F FILE NO.: 21 11-0680 ACN: 11136373 DATE: 11-05-2012
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 DF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-06-2012
PRINCIPAL TAX DUE: ,~~ -,~
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
*** SUMMARY OF ALL 007 PAYMENTS ***
10-25-2012 .26 35.00
INTEREST IS CHARGED THROUGH 11-20-2012 TOTAL TAX PAYMENT
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
35.26
69.9b
2.05
72.01