HomeMy WebLinkAbout05-11-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 260601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
JACKSON JANIE A
6631 CONWAY ROAD
HARRISBURG, PA 17111
fold
ESTATE INFORMATION: ssN: 22s-2o-5531
FILE NUMBER: 2109-0176
DECEDENT NAME: SAMPLE BEVERLY
DATE OF PAYMENT: 05/ 1 1 /2009
POSTMARK DATE: 05/08/2009
CouNTY: CUMBERLAND
DATE OF DEATH: 02/09/2009
REMARKS:
SEAL
CHECK#117
ACN
ASSESSMENT
CONTROL
NUMBER
REV-1162EX(11-96)
N0. CD 011213
AMOUNT
101 ~ 57,000.00
TOTAL AMOUNT PAID:
INITIALS: CJ
RECEIVED BY:
$ 7, 000.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
DAVID A. W10N
FRANCIS A. ZULLI
JEAN D. SEIBERT
SHELLY J.KUNKEL
LAW OFFICES
P.O. BOx 1121
HARRlseuxc,PA 17108-1121
109 LOCUST STREET
HARRISeuRC,PA 17101
(717)236-9301
(717)232-1488
FAx(717)236-6100
EMAIL: WZS@MINDSPRING.COM
May 8, 2009
Register of Wills Office
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
l 13 E. MAIN STREET
HUMMELSTOWN, PA 17036
(717) 566-2501
RE: Estate of Beverly Sample a!k/a Beverly F. Sample
No. 2109-0176
Dear Register of Wills:
Enclosed please find a check made payable to the Register of Wills, Agent to pay the
estimated Pennsylvania inheritance tax in full for the above-referenced estate at the discount rate.
Please note the postmark date for the date of receipt of the payment, to be indicated on the receipt
for same.
Thank you in advance for receipt of this payment and processing of same.
Very truly yours,
~fl
Jea D. Seibert
JDS/kd
Enclosures
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