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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 BRETZ MARTIN F
DATE OF DEATH 03-21-2013
FILE NUMBER 21 13-0367
COUNTY CUMBERLAND
LAUER JOHN A ACN 101
STE 700 ----
Amount Remitted
100 STATE ST --=
ERIE PA 16507-1459
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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 E^
REY-1607 EX AFP C12-13� * INHERITANCE TAX STATEMENT OF ACCOUNT ■ *
ESTATE OF:BRETZ MARTIN F FILE NO. : 21 13-0367 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: 05-27-2014
PRINCIPAL TAX DUE: 3,567.$6
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-? -
06-17-2013 CDO17757 178.39 31400.00
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05-27-2014 REFUND .00 10.53-c
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TOTAL TAX PAYMENT 3,567.86
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.