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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TREV-1607 EX AFP (12-14)
U,
P 0 F STATEMENT OF ACCOUNT
HARRISIBOW(;-PA 17�28-.-06tlr.—
R I L L S
DATE 02-09-2015
2015 FEB 17 F ESTATE OF DLUZESKI BENJAMIN
DATE OF DEATH 08-27-2012
CLE;";:, C; FILE NUMBER 21 14-0297
COUNTY CUMBERLAND
DCOLUiV"SE' 'D'LUZE$KI' ACN 14113600
,8 Ll A M DR 5 "�'
Amount Remitted
MECHANICSBURG PA 17050-6851
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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i 6T--1 i i f -Cx-AFP I i i:1747) INHERITANCE TAX
ESTATE OF:DLUZESKI BENJAMIN FILE NO. : 21 14-0297 ACN: 14113600 DATE: 02-09-2015
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: 02-09-2015
PRINCIPAL TAX DUE: 293.46
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-28-2014 CDO18957 .00 293.46
02-06-2015 WRITEOFF .00 7.34
TOTAL TAX PAYMENT 293.46
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.