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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
RECORDED OFFICE OF DATE 12-09-2013
REGISTER OF WILLS ESTATE OF BROZACK BARBARA A
DATE OF DEATH 12-29-2011
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201EC 13 �)M 3 25 FILE NUMBER 21 12-0258
U J L;L COUNTY CUMBERLAND
KEITH 0 BRENNEMAN ESQ ACN 101
44 W MAIN ST CLERK OF
PO BOX 318 O` RPHANS COURT Amount Remitted
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MECHANICSBURG RSMANVICO , PA
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 --; RETAIN LOWER PORTION FOR YOUR RECORDS 4--
REV-1607 EX AFP C12-12)-- - ---;; INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:BROZACK BARBARA A FILE NO. : 21 12-0258 ACN: 101 DATE: 12-09-2013
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: 09-24-2013
PRINCIPAL TAX DUE: 6,002.50
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-12-2013 CDO17728 .00 5,982,13
10-29-2013 CDO18342 126.20- 146.57
11-08-2013 SBADJUST .00 .03
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TOTAL TAX PAYMENT 6,002.50
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
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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.
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