HomeMy WebLinkAbout07-28-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
KUCEK DIANA HESSE
1784 SOUTH MEADOW DRIVE
MECHANICSBURG, PA 17055
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ESTATE INFORMATION: SSN: 099-14-0289
FILE NUMBER: 2108-0454
DECEDENT NAME: HESSE ADELINE LORETTA
DATE OF PAYMENT: 07/28/2009
POSTMARK DATE: 07/27/2009
couNTY: CUMBERLAND
DATE OF DEATH: 1 2/25/2007
REV-1162 EX111-961
NO. CD 01 1538
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08129230 ~ 59.10
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 3290
59.10
INITIALS: JN
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
/BLISTER OF WILLS
~'u,,, ~r ~ ,~.~1 COUNTY, PENNSYLVANIA
Name of Decedent: !~'~~ ,g ~ CD o r~ 2 r
Date of Death: J N /~ / 3 A a n ~ File Number: ,~ y0 9 ~ O b 3 ~ ,'~
Date Letters Granted: ~ r • / ~ ~. 2 b U 9
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
~.~~ z g. od
Name:
Address:
Ru7~, ~i.~j ~ 1~aSY'u~GY' ~,7- a-~f D / l/I~Et~tl+''r. nAY/C / a.~3 ,f a 1~1t TWA 1~l Z/
f'//n~~l/iH ~~. ~~a./.~GCr tiN /1L ~'~/~9nCats~'~`~ /T,LD~H eQhrfC,../d JA/F. G~'b/7
HNIfP ~//Z<Fsc~~~ /rL~l~" /~y ~[/Q.GL. S~' ~iJI^OD~~~h N! ~/Z-~~
(If more space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
Date ~/3d/~ 7
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ign e of Person Filing this Fnrm
Capacity: Personal Representative 0 Counsel
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Name of/~'erson Filing this Form "
Address
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Telephone
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DIANA H KUCEK
1784 S MEADOW DR
MECHANICSBURG
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.-, , ,71!IH~I~ITANCE TAX
.:..STATEMENT OF ACCOUNT
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CLEF~r. {~~F 1
PA 17055
REV-1607 EX AFP (12-OS)
DATE 06-29-2009
ESTATE OF HESSE ADELINE L
DATE OF DEATH 12-25-2007
FILE NUMBER 21 08-0454
COUNTY CUMBERLAND
ACN 08129230
Amount Remitted
i• /~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address
printed on the reverse side.
If payment if for a RESIDENT DECEDENT, make check or money order payable to:
Register of Wills, Agent
If payment if for a NON-RESIDEN7 DECEDENT, make check or money order payable to:
Commogwealt6 of Peggsylvagia
Failure to pay the tax, interest, and penalty due may result in the filing of a lien of record in the
appropriate county, or the issuance of an Orphan's Court citation.
REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an
"Application for Refund of Pennsylvania Inheritance and Estate Tax" CREV-13133. Applications are available
online at www.revenue.state.oa.us, any Register of Wills or Revenue District Office, or from the Department's
24-hour answering service for forms orders: 1-800-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-800-447-3020 CTT only).
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