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DEPARTMENT OF REVENUE
BUREAU DF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 04-21-2014
ESTATE OF BURDULIS MICHAEL J
DATE OF DEATH 04-18-2013
FILE NUMBER 21 13-0610
COUNTY CUMBERLAND
BROWN JAN L ACH 101
STE 12
845 SIR THOMAS CT ?mount Remitted
HARRISBURG PA 17109-4843
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
I 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 C12-13) �*x INHERITANCE TAX STATEMENT OF .ACCOUNT *;m
ESTATE OF:BURDULIS MICHAEL J FILE HO. : 21 13-0610 ACN: 101 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: 03-10-2014
PRINCIPAL TAX DUE: 4,476.14
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-01-2014 CDO18974 26.79- 4,502.93
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r- Iv m m
r rn Cn 70 ca
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TOTAL TAX PAYMENT 4,476.14
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. 1