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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP VENN)
INHERITANCE TAX DIVISION
STATEMENTPO BOX 280601 OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 10-06-2014
ESTATE OF ZEISLOFT EDWARD J
DATE OF DEATH 12-03-2013
FILE NUMBER 21 13-1303
COUNTY CUMBERLAND
WALTERS III MURREL
ACN 101
54 E MAIN ST —
Amount Remitted
MECHANICSBURG PA 17055-3851
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 _ --I� RE_TAIN LOWER PORTION FOR YOUR RECORDS 4—
REV-1607 EX AFP C12-13) ** INHERITANCE TAX STATEMENT OF AOUNT _ *** _ _ _ _ _ _ _ _ _ _ _ _ _ _
ESTATE OF:ZEISLOFT EDWARD J FILE NO. : 21 13-1303 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: 09-02-2014
PRINCIPAL TAX DUE: 22,560.88'
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-27-2014 CDO18826 1,105.26 21,000.00
05-02-2014 CDO19101 .00 510.88 ,
09-22-2014 REFUND .00 55.260
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TOTAL TAX PAYMENT 22,560.88
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. �\