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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE
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�['DIVISIONPO OFFICE STATEMENT OF ACCOUNT
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DATE 08-24-2015
?015 31 Gm 12 3b ESTATE OF BAZAR LUCIAN P
J AUGtJ i � DATE OF DEATH 10-19-2013
FILE NUMBER 21 13-1209
C!_#"'` COUNTY CUMBERLAND
BA2"t p[ t,," '.' MARK
ACN 101
ERFIE,LD AVE
t�!! Amount Remitted
M NA CSBURG PA '
17050-6824
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 --I� RETAIN LOWER PORTION FOR YOUR RECORDS E—
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REV-1607 EX AFP 012-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BAZAR LUCIAN P FILE NO. : 21 13-1209 ACN: 101 DATE: 08-24-2015
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: 07-27-2015
PRINCIPAL TAX DUE: 2,850.27
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-12-2013 CDO18388 110.03 2,090.58
03-18-2015 CD020360 .00 462.68
INTEREST IS CHARGED THROUGH 09-08-2015 TOTAL TAX PAYMENT 2,663.29
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 186.98
INTEREST AND PEN. 15.56
TOTAL DUE
202.54
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.
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