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BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DEPARTMENT OF REVENUE
PO HBOX T280601 DIVISION STATEMENT 0 F ACC O UN T RE°-16B7 Ex AFP uz-13)
HARRISBURG PA 17128-0601 '
RECORDED OFFICE OF DATE 03-24-2014
REGISTER OF WILLS ESTATE OF JUZBASIC STEPHEN A
DATE OF DEATH 10-18-2012
t�14 �fi 28 fl�11133 COUNTYUMBER CUMBERLAND
STEPHEN JUZ SIC F E OF ACN 14090013
142 16TH ST RECORD€�R�. ��
NEW CUMBERLAND �' V(��Un y� Amount Remitted
Zuf U &�ANpy(�Y 1 MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
CLERK OF REGISTER OF WILLS
ORPHANS' COURT 1 COURTHOUSE SQUARE
��IyBERLAND CO., FA CARLISLE PA 17013
NOTE: To ensure proper cre o your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ---I. RETAIN LOWER PORTION FOR YOUR RECORDS _ E�
REV-1607 EX AFP (12-13) *** � NHERII " " _ " " - " "
INHERITANCE TAX STATEMENT OF ACCOUNTx - " - "
ESTATE OF:JUZBASIC STEPHEN A FILE NO. : 21 12-1179 ACN: 14090013 DATE: 03-24-2014
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: 03-18-2014
PRINCIPAL TAX DUE:
.00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
01-15-2013 CDO17062 . 00 5,485.82
02-08-2013 CDO17161 .00 247.79
03-11-2013 CDO17311 . 00 247.79
03-18-2014 REFUND .00 5,981 .40-
TOTAL TAX PAYMENT .00
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.