HomeMy WebLinkAbout12-30-09 (2)COMMONWEALTH OF PENNSYLVANIA
,, ,. DEPARTMENT OF REVENUE
'"ri ~j~"~~~~ 1.~}~ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVI~L~.~ ~` ?" ~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION = ~' r ~Y 4;, ._-+
HARRISSURG6PA 17128-0601 ~ ~~~'r; ~. ~..~t ~, OF DEDUCTICtNS, AND ASSESSMENT OF TAX ON
" r~ JOiNTLV HElO OR TRUST ASSETS
C1.E~'~ ~~~~~
SUSAN ((^^ ~++~} '' : ~ ~~'
812 W KELLEIt~ST
MECHANICSBURG PA 17055-4028
REV-1548 EX AFP (01-0
DATE 11-30-2009
ESTATE OF SWARTZ RUTH
DATE OF DEATH 11-30-2008
FILE NUMBER 21 09-0043
COUNTY CUMBERLAND
SSN~DC 222-05-5506
ACN 08163186
APPEAL DATE: 01-29-2010
(See reverse side under Objections)
Amount Remitted ~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 2 8-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 012164
BRETZMAN SUSAN
29 CANDLELIGHT LN
REHOBOTH BEACH, DE 19971
fold
ESTATE INFORMATION: ssN: 222-05-5503
FILE NUMBER: 2109-0043
DECEDENT NAME: SWARTZ RUTH M
DATE OF PAYMENT: 12/30/2009
POSTMARK DATE: 1 2/28/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 1 1 /30/2008
REMARKS:
SEAL
CHECK# 1060
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08163186 ~ S 124.76
TOTAL AMOUNT PAID:
REV-1162 EX111-96)
S 124.76
INITIALS: DM
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS