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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
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INHERITANCE Tax DIVISION RECORD EDsd�TieIT OF ACCOUNT
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HARRISBURG PA 17128-8661 REGISTER OF WILLS
tt REGISTER c VQ ry �7 DATE 04-28-2014
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ESTATE
0111-02-2013 DOROTHY J
pCLERK OF FILE NUMBER 21 13-0261
JOHN A HOLTZM�}AN p R T HANS� COU COUNTY CUMBERLAND
ACN 13110566
644 N 2ND ST CUMBERLAND CO., PA Amount Remitted
WORMLEYSBURG PA 17043-1002
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 t--
R -1607 EX AFP C12-13J ■ * INHERITANCE TAX STATEMENT OF ACCOUNT * x
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ESTATE OF:HOLTZMAN DOROTHY J FILE NO. : 21 13-0261 ACN: 13110566 DATE: 04-28-2014
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: 01-27-2014
PRINCIPAL TAX DUE: 799.75
PAYMENTS CTAX CREDITS?:
PAYMENT RECEIPT DISCOUNT (+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-1
03-11-2013 CDO17309 12.00 227.93
04-04-2014 CDO18983 6.03- 565.85
04-18-2014 SBADJUST .00 2.42
TOTAL TAX PAYMENT 799.75
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
x 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. ,�^l
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