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HomeMy WebLinkAbout09-28-07 REV-1162 EX(11-96) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INOIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 008754 RECEIVED FROM: COLDREN DANIEL R 536 W CUMBERLAND RD ENOLA, PA 17025 ACN ASSESSMENT CONTROL NUMBER AMOUNT -------- fold 06137402 $172.15 ESTATE INFORMATION: SSN: 182-40-7937 FILE NUMBER: 2106-0489 DECEDENT NAME: COHEN LINDA C DATE OF PAYMENT: 09/28/2007 POSTMARK DATE: 09/27/2007 COUNTY: CUMBERLAND DATE OF DEATH: 03/23/2006 TOTAL AMOUNT PAID: $172.15 REMARKS: DANEIL R COLDREN CHECK# 1108 . INITIALS: OM RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS SEAL REGISTER OF WILLS -- BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280'01 0'\ HARRISBURG PA 1~-0'01 <: U: ~--_. G'C COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT * . ~ 5?~; DANI~ R ifmt.DREN 536 W~UMBER~ RD ENOLA~::; PA >< ':<"1 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN REV-I'O] EX AFP (03-05) LL u- C) 09-17-2007 COHEN 03-23-2006 21 06-0489 CUMBERLAND 06137402 LI NDA C 17025 f Amount Rem1tted J MAKE CHECK PAYABLE AND REMIT PAYMENT TO: CUT ALONG THIS LINE NOTE, T. t..... ...... ""t, ,. y... ......,. ..b.t, 'b. ..... ""t.. .. 'ht. .... .t'b y... '.x ......,. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 .... RETAIN LOWER PORTION FOR YOUR RECORDS +- r- f'l ...,.} ~ " ''ii. (, }'t" "'''''' . ~ 1 l ~ I\~ '-1 K'" \~ ~ . ~~ ~~ ~ r~ ~.. -1 . ,...l :'1 '~I t.... f'" ~ r."~ n.. ill Vi h N :~ 21 )1 d ;'';. ;:1 -' ~, ":'t :t ~~ ~ -d '.!lVd ' _ao\ 0-;::1"- ll'''O' UQ- CI.t 'Q)~< j ._ eo.. - a8~ ~I;'! "'" IF) ~..,. .. )C) ::, . . :, -J"!.J;. - ~ ~ o'? ". o (, (~.:iS i002 ~ ............. ~ "" -