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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
STATEMENTPO BOX 280601 OF ACCOUNT
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HARRISBURG P PN-Ric E !C I- i
R E G I ST I[R F `$ELLS DATE 02-02-2015
1 ESTATE OF HOLTZINGER LEWIS T
7015 1EB p F,M 1 Q5 DATE OF DEATH 05-15-2014
FILE NUMBER 21 14-0534
Cl_ "t . 0 COUNTY CUMBERLAND
SMIT� ESQ, ,. ST-A.N,LEY A ACN 101
PO B t 1t146 t"),;
n; ,1 , � z Amount Remitted
HAiI��S�BURG- - PA 17108-1146
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 ♦-
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REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:HOLTZINGER LEWIS T FILE NO. : 21 14-0534 ACN: 101 DATE: 02-02-2015
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: 01-12-2015
PRINCIPAL TAX DUE: 95,828.26
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-07-2014 CDO19392 4,736.84 90,000.00
01-21-2015 CD020160 .00 1,091 .41
01-30-2015 SBADJUST .00 .01
TOTAL TAX PAYMENT 95,828.26
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.