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R E a E n C DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES '!"-kIW� 6E TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 280601 REGiSt A.T rM- E"h LbF ACCOUNT
HARRISBURG PA 17128-0601 p
?QIS SE`p 29 Pf J 12 CU DATE 09-14-2015
ESTATE OF BIXLER CALANTHA T
FLEE,:` GF DATE OF DEATH 09-03-2006
ORPHAN)' MUi' { FILE NUMBER 21 14-0765
CUMBER,Lr,t, r,., COUNTY CUMBERLAND
HARTMAN SUSAN J
ACN 101
1 IRVINE ROW Amount Remitted
CARLISLE PA 17013-3019
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 _ _—�_ _ RE_TAIN LOWER PORTION FOR YOUR RECORDS
REV-1607 EX AFP C12-14) * * INHERITANCE TAX STATEMENF T OACCOUNT **
ESTATE OF:BIXLER CALANTHA T FILE NO. : 21 14-0765 ACN: 101 DATE: 09-14-2015
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: 08-17-2015
PRINCIPAL TAX DUE: 91.33
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-24-2015 CD020571 .00 91 .33
09-03-2015 CD021216 30.67- 30.67
TOTAL TAX PAYMENT 91.33
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