HomeMy WebLinkAbout02-26-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-96)
NO. CD 010945
FREE BARRY S
1803 LARCH CIRCLE
LEBANON, PA 17042
fold
AMOUNT
101 ~ 512,312.00
ESTATE INFORMATION: sSN: iso-76-5355
FILE NUMBER: 2108- 1 269
DECEDENT NAME: FREE NELSON S
DATE OF PAYMENT: 02/26/2009
POSTMARK DATE: 02/25/2009
couNTY: CUMBERLAND
DATE OF DEATH: 1 1 /29/2008
REMARKS: RECEIPT TO ATTY
SEAL
CHECK#107
ACN
ASSESSMENT
CONTROL
NUMBER
TOTAL AMOUNT PAID:
512,312.00
INITIALS: CJ
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
TRANSMITTAL
PAYMENT OF INHERITANCE TAX
Name and address of Attorney of Record:
Kenneth H. Howard
Annel & Yost LLP 33 North Duke Street Lancaster PA 17602
Name of Decedent (last, first, middle initial):
Free, Nelson S.
File Number (if probate has begun): 21-08-1269
ate of Death: November 29, 2008
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Social Security: 160-16-5355 -i~,~? rn ~;
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Amount: $12,312.00 ~'~-
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If probate has not commenced or if it is a non probate estate, additional information listed
below will be required.
Social Security Number:
Residence at Death (City, Borough or Township):
cc: Barry S. Free
Kenneth H. Howard
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