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HomeMy WebLinkAbout08-28-07 (3) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BOWERS MARCIA K 10 S BROAD ST MECHANICSBURG, PA 17055 -------- fold ESTATE INFORMATION: SSN: 172-58-4132 FILE NUMBER: 2106-0425 DECEDENT NAME: BOWERS JON F DATE OF PAYMENT: 08/28/2007 POSTMARK DATE: 08/27/2007 COUNTY: CUMBERLAND DATE OF DEATH: 05/07/2006 NO. CD 008597 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06147881 I $11 .67 I I , I I I I I I I TOTAL AMOUNT PAID: $11 .67 ,REMARKS: MARCIA K BOWERS CHECK# 6601 SEAL INITIALS: OM RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 MARCIA L BOWERS 10 S BROAD ST MECHANISBURG COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' \_~C,(>~ fH'r~.~1t lNHERITANCE TAX A~P~A.tsE"EI!'t, AC-lDWANCE OR DISALLOWANCE ~:::~U.c::r;IONS, ,,' Arm ASSESSMENT OF TAX ON JOINTLY H~LD OR TRUST ASSETS REV-1548 EX AFP {06-05> 2007 AUG 28 PI'l 12= 23~~~:TE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN CLERI< OF ORPHAi\J'S COURT CU'",I"","','-' ''''I~ f. ,. .,:1.,' ' . '. , ,I 08-27-2007 BOWERS 05-07-2006 21 06-0425 CUMBERLAND 172-58-4132 06147881 APPEAL DATE: ~0-26-2007 (See reverse side under Objections) A.ount Re.lttedl I MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TO: JON F PA 17055 .... RETAIN LOWER PORTION FOR YOUR RECORDS +- f~t G- 0 p.. e. ~ ~ ~ ~- ~ tr" - ~ c:: (J') "'" "'" f"t 0.. (JQ f,) ':s! tP ~ <i 2007 AUG 28 PH 12: 23 & s \.}\ CLERK OF ORDLj^1\l'(' 0,'\! jGT I i r ,"'." ,) ',,)\1'_d i Cl 11-, r~ "'''.,' . r i "~I ~ Dj' JI>: ' ' I ,"' ..... ....\ o ..... i,) .... 'i!\ ~ %~g~ " ~~~ (/)~~ t'> ttI ~ ttI ~ ~~ ~ Z~ ~ d-a '<3 0 ~ ~ ~ i;;, ~ () ~ ~ . --- ~ ~ ... .. :... ~ ~ :. ",. ::. :- - :-- ':" :- ~ - ::- :..- ~ =- :" =- ;:- .... =- :: '~ S ~, a ~ f.I\ i ~,.. t \,: ~- 11 6i_: ~ C\, \ 13 1), ]. )I, ~ lJ' ". ~ "'"' ,