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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
PO H BOX T 280601 DIVISION STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 08-18-2014
ESTATE OF MENTZER LEE W
DATE OF DEATH 07-12-2012
FILE NUMBER 21 12-0816
DOUGLAS III ESQGEORGE F COUNTY CUMBERLAND
ACN 101
354 ALEXANDER SPRING RD
Amount Remitted
CARLISLE PA 17015-7451
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 C12-13) . INHERITANCE TAX STATEMENT OF ACCOUNT *;x
ESTATE OF:MENTZER LEE W FILE NO. : 21 12-0816 ACN: 101 DATE: 08-18-2014
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: 06-30-2014
PRINCIPAL TAX DUE: 8,357.92
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-10-2012 CDO16617 417.90 81300.00
07-30-2014 REFUND . 00 359.98- o
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TOTAL TAX PAYMENT 8,357.92
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.
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