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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-16p7 EX AFP C12-12)
INHERITANGE TAX QIYISION STATEMENT OF ACGOUNT
Pp BOX 280501
HARRISBURG PA 17128-Obpl
i���`r�'a.'��+ �.' i: ,.. `";.�` DATE 05-I3-2013
�����,`f , ;•� �t- . � � �� , ESTqT6 OF JASLOW VTNC�NZA
DATE OF DEATH 11-21-2012
,fi��� ��r��l �`"� �.:.' .�,Y tit� FILE NUMBER 21 13-0167
G4UNTY CUMBERLAND
JACK MOSCATO ,��� A�� 13000400
7 MEADOWOOD PL �'�-����° {'°
, , _ Amount Remitted
saz�zr�� s�R�t�GS ��#�b�bi�r����:;::��;:
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FlAKE CHECK PAYABLE ANLt REMIT PAYMENT T0:
RE6ISTER QF WILLS
1 COURTNOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure praper credit to your account, submit the upper portion of this farm with your tax payment.
CUT Al.ONG THIS LINE --! RETAIN LOWER PQRTION FOR YOUR RECQRDS �
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REV-1607 EX AFP C12-12) �** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:JASLOW VINCENZA FILE NO. : 21 13-D167 ACN: 1300040Q DATE: D5-13-2013
THIS STATEMENT PROVIDES CURREN7 STATUS OF THE STATED ACN IN THE NAMED ESTATE. &ELOW IS A SUMMARY OF TkE PRINCIPAL
7AX DUE, APPGICATION OF A�L PAYMENTS, THE CURRENT BA�ANCE, AND, IF APP�ICAB�E, A PROJECTED INTEREST FI6URE.
DATE OF LAST ASSESSMENT OR RECORb ADJUSTMENT: 03-04-2013
PRINCIPAL TAX DUE: 2,068.07
PAYMENTS tTAX CREDITS� :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-15-2Q13 CD0171$0 .00 1,859.81
04-16-2013 CD017515 .00 208.26
TOTAL TAX PAYMENT 2rOb8.07
BALANCE OF TAX DUE •Q�
INTEREST AND PEN. •��
TOTAL DUE
.ao
� IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATIQN OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR?, YOU MAY BE DUE A REFUNB. SEE REYERSE SIDE OF THIS FQRM
FOR INSTRUCTIONS. � 1}