HomeMy WebLinkAbout10-19-09COMMONWEALS"H OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BDX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
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REV-1548 EX AFP (01-09)
DATE 09-15-2009
ESTATE DF CLOUSER DAVID H
DATE OF DEATH 02-20-2009
FILE NUMBER 21 09-0204
COUNTY CUMBERLAND
SSN/DC 184-26-5048
DEBRA HOUSERMAN ACN 09117550
1204 MITCHELL DRIVE APPEAL DATE: 11-14-2009
MECHANICSBURG PA 17050 (See reverse side underOhjections)
Amount Remitted ~ ~~ 1 7G.rc~~ r~'^ ~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0: f~,l~ec;c
REGISTER OF WILLS ~nC~.t~
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE "'> RETAIN LOWER PORTION FOR YDUR RECORDS ~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DEBRA HOUSERMAN
1204 MITCHELL DRIVE
MECHANICSBURG PA 17050
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DEBRA HOUSERMAN
1204 MITCHELL DRIVE
MECHANICSBURG PA 17050
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
~~
REV-1548 EX AFP (01-09)
DATE 09-15-2009
ESTATE OF CLOUSER DAVID H
DATE OF DEATH 02-20-2009
FILE NUMBER 21 09-0204
COUNTY CUMBERLAND
SSN/DC 184-26-5048
ACN 09117553
APPEAL DATE: 11-14-2009
(,See reverse side under Objections)
Amount Remitted ~ 7hf~1 i7uf
ovy
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX 9'_
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP cBl-09)
DATE 09-15-2009
ESTATE OF CLOUSER DAVID H
DATE OF DEATH 02-20-2009
FILE NUMBER 21 09-0204
COUNTY CUMBERLAND
SSN/DC 184-26-5048
ACN 09117547
APPEAL DATE: 11-14-2009
(See reverse side under Objections)
Amount Remitted •GQ ~ -T,..fc-~ !~,
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