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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION
STATEMENT PO BOX 280601 OF ACCOUNT HARRISBURG PA 17128-0601 RECORDED OFFICE OF
REGISTER OF 'PLLS DATE 04-01-2013
ESTATE OF MALESIC MARY E
3 APR 5 Ai ! 11 5 1 DATE OF DEATH 03-03-2012
FILE NUMBER 21 12-0316
JOHN R ZONARICH CLERK OF COUNTY CUMBERLAND
FL 6 0�AANS COURTpA ACN 101
17 S 2ND ST CUMBERLAND CO., PA Amount Remitted
HARRISBURG PA 17101-2053
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 1.7013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE _ _1_ RETAIN LOWER PORTION FOR YOUR RECORDS _ �--
REV-1607 EX AFP C12-12� *** INHERITANCE TAX STATEMENT OF ACCOUNT x;; -
ESTATE OF:MALESIC MARY E FILE NO. : 21 12-0316 ACN: 101 DATE: 04-01-2013
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: 02-11-2013
PRINCIPAL TAX DUE: 21,174.00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID {-)
05-30-2012 CDO16043 894.74 17,000.00
11-30-2012 CDO16869 .00 3,324.00
03-18-2013 REFUND .00 44.74-
TOTAL TAX PAYMENT 21,174.00
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.