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DEPARTMENT OF REVENUE
BUREAU OF INDIVK&OPA SD OFFICE OF- INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX Olvt' IS i Edi OF WILLS STATEMENT OF ACCOUNT
PO BOX 280601 l�
HARRISBURG PA 1712811-06011
?Of5 PH 13 PM 12 00 DATE 04-06-2015
ESTATE OF KURTZ KENNETH M
CLERK OF DATE OF DEATH 07-18-2014
ORPHANS' CO'IRT FILE NUMBER 21 14-0715
COUNTY CUMBERLAND
ZIEGLECRUMBFLi`ICATHI''„ ii ACN 101
19 W COOVER ST
Amount Remitted
MECHANICSBURG PA 17055-6435
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 E-
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REV-1607 EX AFP C12-14� *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:KURTZ KENNETH M FILE NO. : 21 14-0715 ACN: 101 DATE: 04-06-2015
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: 11904.59
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-09-2014 CDC19781 95.23 1,904.59
03-16-2015 REFUND .00 95.23-
TOTAL TAX PAYMENT 1,904.59
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.