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BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1607 EX AFP (12-14)
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601 OFF
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GI �_ ;ILDATE 06-01-2015
ESTATE OF KAZINER SHIRLEY
?GIC JUN 8 M 12 6b DATE OF DEATH 08-10-2010
J U FILE NUMBER 21 10-0987
MELLINGERE7K n c COUNTY CUMBERLAND
�1 KARL E ACN 501
3513 N F q{,�T11 kST;;' r „^T
"t';1 Amount Remitted
HARRISBURG., r•; —PA: 17110-1438
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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— _ - - - - -
_ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT x;;
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 C-)
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. \