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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX }DIVISIONPO X 2 {� STATEMENT O F ACCOUNT
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REGI 'T'E C'F `ti` LS.11LDATE 02-02-2015
?0!5 FEBQ -m 1 Oc ESTATE OF HOLTZINGER LEWIS T
U Il J DATE OF DEATH 05-15-2014
_ FILE NUMBER 21 14-0534
C1 E2.., OF COUNTY CUMBERLAND
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ShbIT}� ACN 101
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I�$URG 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
REV-1607 EX AFP (12-14 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 (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
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. �v
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