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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INxBE TAX DIVISION
PO BOX OX 290 2806 D1 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 04-21-2014
ESTATE OF HOLTZMAN DOROTHY J
DATE OF DEATH 01-02-2013
FILE NUMBER 21 13-0261
COUNTY CUMBERLAND
JOHN A HOLTZMAN
6 ACN 1311D566
44 N 2ND ST
WORMLEYSBURG PA 17043-1002 Amount Remitted
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 --)I RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-1607 EX AFP C12-13) ■x INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:HOLTZMAN DOROTHY J FILE NO. : 21 13-0261 ACN: 13110566 DATE: 04-21-2014
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 (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-11-2013 CDO17309 12. 00 227.93
04-04-2014 CDO18983 6.03- 565.85
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04-18-2014 SBADJUST .00 2.42 n °
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TOTAL TAX PAYMENT 799.75
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.
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