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HomeMy WebLinkAbout07-30-07 COMMONWEAL TH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CO 008465 GOUSE STEVEN L 23RD STREET EXT ENOLA, PA 17025 ACN ASSESSMENT AMOUNT CONTROL NUMBER ~------- tuld ---------- -------- 06157535 I $65.35 ESTATE INFORMATION: SSN: 714-18-2611 I FILE NUMBER: 2106-1050 I DECEDENT NAME: GOUSE WALTER E I DATE OF PAYMENT: 07/30/2007 I POSTMARK DATE: 07/28/2007 I COUNTY: CUMBERLAND I DATE OF DEATH: 10/01/2006 I '--- I TOTAL AMOUNT PAID: $65.35 REMARKS: STEVEN L GOUSE CHECK# 0368625357 SEAL INITIALS: OM RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX OIVISION PO BOX 280601 HARRIS8URG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP (03-05} r,..:~ ~. , J.. L _: / J'L] L:.' ; /': '? I.: If 8 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 07-16-2007 GOUSE 10-01-2006 21 06-1050 CUMBERLAND 06157535 WALTER E n. STEVEN L~ 'GOUSE 23RD STREET EXT ENOLA PA 17025 I Amount Remitted . II (.,,,.: 3 ,,- MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account. submit the upper portion of this form with your tax payment. '\ i.\.~\\'~ \, '" \" 'i. " ~\"\,,"\\ )\.\'.\ . ":\"'. ' ,~, II/in) ~ l {. \.t. ( , ~ ~ \. \ ' ' ,\ \ ,,\ \ -M'- t"'"!. -M <t ~ '~ " ~~ p. "........ \'" ..,./ ,1-/ 'J...... -, 1; U1 ~~ d.. .tt ~~ '~~..: .j.t~ 1: -F-~\ --' u ~ ~'l- "''I ,.;s \..n :).....;J ~ :t'.j X G ~\D. ~ ~~~ ~ \00, . .......... <:- '~, ...... " '~ cl ~-d ..> ...... "';;:l- s:.. <:j ~ \-- '7 -..lJ .- VI rl. 0.\ .-. (' _~ 11 . L\L:U J' J 30 \ \ :z: lIS .:. .- juRi 'J; F~ C:,t;' ",J ~ ''-'I ..) "6 ~ ~ .,} ,.t ~ ---J '.:j .~ . ~ i ?\ ('-~ - .-l2 ' ", '~ ,>0.1 ,~ \) ('0...) \ ~. ~ ~ ()~ .~~ \:i 'i J I ;:"','~' .~. ~, t'~ ~:s'~ r~~ " / .-:: .- .- -:: ...;; .- -;:;;. .-- - -.: .;::: .- :.::: - - 11) t...\ {:i'~ (t~ :,1,1; r~) 'l"~ 1.J r... , .:....\