HomeMy WebLinkAbout11-26-07 (2)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-9B)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
KOHR ROGER A
4405 ROYAL OAK ROAD
CAMP HILL, PA 17011
~------- fold
ESTATE INFORMATION: SSN: 207-26-0248
FILE NUMBER: 2106-0951
DECEDENT NAME: FETTERHOFF BETTY JANE
DATE OF PAYMENT: 11/26/2007
POSTMARK DATE: 11/23/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 10/16/2006
NO. CD 009016
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06159497 I $11.81
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TOTAL AMOUNT PAID:
$11.81
REMARKS:
CHECK# 3944
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
ROGER A KOHR
4405 ROYAL OAK RD
CAMP HILL PA 17011
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
Or('(1R,,.,r- rr-
,:,;::,::-!,j~lJ~r~:;fN(i,SRITANCE TAX
APp:~A.p.',EH~N':I\I!-"'Q~NCE OR DISALLOWANCE
OF DEril:iCTtO~, :'~I\Ui.~~SSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
2007 NOV 26 PM ,: O~ATE
~STATE OF
DATE OF DEATH
CLER!\ OF FILE NUMBER
9f}fl~(\r!(; COURT COUNTY
CUil ',!' D,IA SSN/DC
, 't\ ACN
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
REV-1548 EX AFP (06-05)
11- 05-2007
FETTERHOFF
10-16-2006
21 06-0951
CUMBERLAND
207-26-0248
06159497
APPEAL DATE: 01-04-2008
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BETTY
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