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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 06-09-2014
ESTATE OF BLUST SANDRA D
DATE OF DEATH 12-02-2012
FILE NUMBER 21 12-1309
COUNTY CUMBERLAND
BLUST ZANG ALLISON A ACN 101
143 WALDEN WAY Amount Remitted
MECHANICSBURG PA 17050-4145
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
R ^1607 EX AFP (12-137xx INHERITANCE TAX STATEMENT O
EV F ACCOUNTx■
ESTATE OF:BLUST SANDRA D FILE NO. : 21 12-1309 ACN: 101 DATE: 06-09-2014
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: 05-05-2014
PRINCIPAL TAX DUE: 11,175.23
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
08-01-2013 CDO17966 .00 12,000.00 r_ rte.) o
05-23-2014 REFUND .00 824.77-m
M
fT" C~ rn
77 r c-s
A
_ t O
'''i _� Z;.
^ ~ I"' rri
.0 GO Cr) O
CT)
TOTAL TAX PAYMENT 11,175.23
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.