HomeMy WebLinkAbout04-06-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 2 8-0601
RECEIVED FROM:
MANN THOMAS
4176 W 116TH WAY
WESTMINISTER, CO 80031
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-961
N0. CD 01 1074
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: ssN: 21 i-24-sass
FILE NUMBER: 2109-0077
DECEDENT NAME: MANN LOWELL D
DATE OF PAYMENT: 04/06/2009
POSTMARK DATE: 04/06/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 01 /05/2009
REMARKS:
101 ~ $12, 750.00
TOTAL AMOUNT PAID:
S 12,750.00
CHECK# 1013
INITIALS: CJ
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
Transmittal
Payment of Inheritance Ta$
Name and address of Attorney of Record:
Andrew L. Saylor
Gibbel Kraybill & Hess LLP
41 East Orange Street
Lancaster, PA 17602
Name of Decedent (last, first, middle initial): MANN, Lowell D.
File Number (if probate has begun): 2009-00077 (21-09-0077)
Date of Death: January 5, 2009
Social Security No.: 211-24-6699
Amount:
$42,750
If probate has not commenced or if this is anon-probate estate, additional information listed
below is required.
Residence at Death (city, borough or township):
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