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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
HARRISBURG URG 806 PA PA 17128-0601
DATE 06-23-2014
ESTATE OF BENTZ ROBERT L
DATE OF DEATH 01-22-2013
FILE NUMBER 21 13-0421
COUNTY CUMBERLAND
PECKMAN ESQ DAVID p
ACN 101
29 MAINLAND RD
MAINLAND VILLAGE Amount Remittetl
HARLEYSVILLE PA 19438-2519
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
" " - - _ _ _ _ _ " " - " " _ _ _ _ _ " " " ' - " - "
REV-1607 EX AFP (12-13) xa INHERITANCE TAX STATEMENT OF ACCOUNT ICE[
ESTATE OF:BENTZ ROBERT L FILE NO. : 21 13-0421 ACN: 101 DATE: 06-23-2014
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: 05-12-2014
PRINCIPAL TAX DUE: 15,019. 17
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) o
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID C r
n-a
04-12-2013 CDO17445 750.96 15,500. 0`06 c �? o
06-03-2014 REFUND .00 1,231 .7!)-s z �r'
rTI M
c�
0 0
o
C7 O _T :3 r _�
O C F + n
F r f�1
- (n o
H—+
TOTAL TAX PAYMENT 15,019. 17
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. \