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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE DIVISION
PO BOX 2806011 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 10-06-2014
ESTATE OF WILLIAMS BEATRICE M
DATE OF DEATH 10-29-2013
FILE NUMBER 21 13-1184
COUNTY CUMBERLAND
OSZUSTOWICZ JOHN C
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 account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE _ �_ _ _ X ST
RE_ NCE RETAIN LOWER PORTI_ON FOR YOUR RECORDS _ +-- _ _ _ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP C12-13) *** INHERITATAATEMENT OF ACCOUNT ***
ESTATE OF:WILLIAMS BEATRICE M FILE NO. : 21 13-1184 ACN: 101 DATE: 10-06-2014
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: 09-15-2014
PRINCIPAL TAX DUE: 23,235.55
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID ry
DATE NUMBER INTEREST/PEN PAID C-) �_
01-27-2014 CDO18702 326.32 6,200.0$ p ft1 n
�
c� o
01-27-2014 CD018703 835.46 16,250.( •---
03-18-2014 CDO18901 .00 6,200.0 z
'01
09-19-2014 REFUND .00 6,576. 3-`- _ Fn rn
� � (1't � c-�
-4 (I) t O
rr _TI
c-� C-D r
-n
►� r-- rn
r-
�.� Cn O
TOTAL TAX PAYMENT 23,235.55
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.