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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION '�TAffPPT OF ACCOUNT REV-1607 EX AFP (12-14)
PO BOX 280601
HARRISBURG PA 17128-0601 RECORDED �-TM,
F Y,'ILLS DATE 06-01-2015
?015 JUN 8 Pfrl 12 3,6 ESTATE OF KAZINER SHIRLEY
DATE OF DEATH 08-10-2010
C L E C, FILE NUMBER 21 10-0987
COUNTY CUMBERLAND
MELLINGER KMP111,1-1�
I : - ACN 501
3513 N FRONT StUMj,,-- - -
—k Amount Remitted
HARRISBURG PA 17110-1438
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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El X;; &HHfAE TAX STATEMENT O� k6CONf
ESTATE OF:KAZINER SHIRLEY FILE NO. : 21 10-0987 ACN: 501 DATE: 06-01-2015
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: 04-20-2015
PRINCIPAL TAX DUE: 1,034.23
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-15-2015 CD020683 55.29- 1 ,089.52
05-29-2015 SBADJUST .00 .26
TOTAL TAX PAYMENT 1,034.23
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.