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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 08-31-2015
ESTATE OF HOLLENBAUGH ALFRED H
RECORDED OFFICE OF DATE OF DEATH 08-14-2014
FILE NUMBER 21 14-0863
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Li -S COUNTY CUMBERLAND
BRENNEMAN KEITH 0 ACN 101
44 W7 r 1 12 ---Amount Remitted
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ORPHA! rMAKE CHECK PAYABLE AND REMIT PAYMENT TO:
C U M H:RL 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- ---- - --- - -INHERITANCE TAX - -- -
- - -gffiYE;&if O� ACCOUNT **
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ESTATE OF:HOLLENBAUGH ALFRED H FILE NO. : 21 14-0863 ACN: 101 DATE: 08-31-2015
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: 08-03-2015
PRINCIPAL TAX DUE: 66,826.15
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-06-2014 CDO19883 3,157.89 60,000-00
04-24-2015 CD020567 .00 3,826. 15
08-17-2015 REFUND .00 157.89-
TOTAL TAX PAYMENT 66,826.15
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. 0