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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-16o7 EX AFP clz-12)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
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RECD ILI 7 DATE 12-17-2012
REGII4 Vii," ++3j ESTATE OF HANZLIK ROBERT F
DATE OF DEATH 04-04-2011
FILE NUMBER 21 11 - 0680
COUNTY CUMBERLAND
GENEVIEVE K GUDZ ACN 11136373
2129 N 2ND ST G~'E'`
r.-- Amount Remitted
HARRISBURG
CUMBERL
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 f-
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REV-1607 E3(_ AFP 012-12) IHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:HANZLIK ROBERT F FILE NO.: 21 11-0680 ACN: 11136373 DATE: 12-17-2012
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: 01-06-2012
PRINCIPAL TAX DUE: 105.22
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
SUMMARY OF ALL 008 PAYMENTS
11-27-2012 .26 40.00
INTEREST IS CHARGED THROUGH 01-02-2013 TOTAL TAX PAYMENT 40.26
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 64.96
INTEREST AND PEN. 2.28
TOTAL DUE
67.24
* 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. ~ ~