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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~~' p~
INHERITANCE TAX DIVISION / ', ~~,:LT,ANCE TAX
PO BOX 280601 ~ .S I ATE M
HARRISBURG PA 17126-0601 ~'~T : 0 F A C C O U N T
., ;
~~~~ ~$ ~ DATE R~/-1607 EX AFP (12-08)
~~~' UpESrarE of 12-22-loos
~~ rr,,~ LIBERTZ
DATE OF DEATH 03-15- MARION F
~~~~~ , ,,~ ~ _. 2007
(`PIl ~"~,_ ~ 1: r-~~ FILE NUMBER 21 07-0587
JOSEPH E LIBERTZ SR '.n4~~`-~~T COUNTY
7 GORDON DR CUMBERLAND
• ,} ~~iQ ACN 08004104
DOVER DE 19901
Amount Remitted
~~. ~ ~.
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
NOTE: To insure proper credit to CA RL ISL Er PA
vour account, submit the u 17013
CUT ALONG THIS LINE PPer portion of this form with
- - - - - - - - - - - - - - - ~ ~'/ RETAIN LOWER PORTION FOR YOUR your tax payment.
-----____ RECORDS ~
PAYMENT:
Detach the top Portion of this Notice and
printed on the reverse side.
CommonwealthfofPennsytvaniaESIDENT DECEDENT, make check or m
the tax, interest, and penalty due may result in the filing of a lien of record in the
t county, or the issuance of an Orphan's Court citation.
Failure to PaY
submit with your payment made payable to the name and address
If payment if for a RESIDENT DECEDENT. make check or money order Payable to:
Register of Wills, Agent
oneY order payable to:
appropria a completing an
credit, which was not requested on the Tax Return> may be requested by
(REV-1313)• ApPlico~tf~om the Department's
REFUND (CR): A refund of a tax and/or
"Application for Refund of Pennsylvania Inheritance and Estate ax
any Register of Wills or Revenue District Office,
online at www revenue state.Pa.us,
24-hour answerini-800v447-3020f(TTsonly)rs: 1-800-362-2050; services for taxpayers with special hearing
speaking needs.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
BOSTIC LOUISE T
7 GORDON DR
DOVER, DE 19901
-------- fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: 194-18-9758
FILE NUMBER: 2107-0587
DECEDENT NAME: LIBERTZ MARION
DATE OF PAYMENT: 01 / 1 5/2009
POSTMARK DATE: 01 /05/2009
couNTY: CUMBERLAND
DATE OF DEATH: 03/15/2007
ACN
ASSESSMENT
CONTROL
NUMBER
REV-1162 EX(11-96)
N0. CD 010771
AMOUNT
08004104 ~ S 13.04
TOTAL AMOUNT PAID:
REMARKS:
CHECK#1333
$13.04
INITIALS: JN
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS