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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX APP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17126-0601
DATE 07-14-2014
ESTATE OF HOSIE JR THOMAS A
DATE OF DEATH 03-16-2013
FILE NUMBER 21 13-0359
OSZUSTOWICZ JOHN C COUNTY CUMBERLAND
ACN 101
104 S HANOVER ST
Amount Remitted
CARLISLE PA 17013-3420 _
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your acoount, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE —) RETAIN LOWER PORTION FOR YOUR RECORDS +--
REV-1607 EX if P (12-13) ■;■ INHERITANCE TAX STATEMENT OF ACCOUNT X;;
ESTATE OF:HOSIE JR THOMAS A FILE NO. : 21 13-0359 ACN: 101 DATE: 07-14-2014
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: 06-09-2014
PRINCIPAL TAX DUE: 89,952.90
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT <+3 AMOUNT PAID
DATE NUMBER INTERESTIPEN PAID (-)
06-11-2013 CDO17724 4,497.65 93,000.00 -_-
06-26-2014 REFUND .00 7,544.75-n
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TOTAL TAX PAYMENT 89,952.90
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^ CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.