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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 BOX280601
HARRISBURG PA 17128-0601 RECORDED OFFICE OF
REGISTER OF WILLS DATE 10-14-2014
ESTATE OF BORZOK JULIA
01OCT 20 FM 12 16 DATE OF DEATH 08-24-2013
FILE NUMBER 21 13-0955
CLER,K OF COUNTY CUMBERLAND
CHELAP ESQ GREGOROR�ANS' C0!JT?,T ACN 101
FL 6 Amount Remitted
17 S 2ND ST CUMBERLAN.10 C)., PA
HARRISBURG PA 17101-2053
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 4— --- --- -- ---- --
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ESTATE OF:BORZOK JULIA FILE NO. : 21 13-0955 ACN: 101 DATE: 10-14-2914
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: 8,714.00_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
11-21-2013 CDO18441 435.70 10,000.00
09-24-2014 REFUND .00 1,721.70-
TOTAL TAX PAYMENT 8,714.00
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. @\