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HomeMy WebLinkAbout12-30-09 (3)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES .,-,-;,,..~~~, P NOTICE OF INHERITANCE TAX INFIERITANCE TAX DIVISION 't Ty' ALLOWANCE OR DISALLOWANCE PO aax zaobol ' ~"~ , ~QEDUCTNS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-D601 ~±~;~~~.:-{,` ' -J~IT~Y HELD OR TRUST ASSETS 7QD4 QEC 3 Q P!~ I2, S 0 SUSAN BRETZM~~RPHA~;~S CCl)RT 812 W KELLER ST "v~~'~r~~=F'~~~ k~O.. PA, MECHANICSBURG PA 17055-4028 0 REV-154a EX AFP (01-09] DATE 11-30-2009 ESTATE OF SWARTZ RUTH M DATE OF DEATH 11-30-2008 FILE NUMBER 21 09-0043 COUNTY CUMBERLAND , SSN/DC 222-05-5506 t~-. ACN 08163188 APPEAL DATE: 01-29-2010 (See reverse side under Objecti©ns) Amount Remitted ~~-- MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT AMOUNT CONTROL NUMBER NO. CD 012163 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: 1 2/30/2009 POSTMARK DATE: 12/28/2009 COUNTY: CUMBERLAND DATE OF DEATH: 1 1 /30/2008 08163188 ~ $517.95 REV-1162 EX(11-96) TOTAL AMOUNT PAID: REMARKS: SEAL CHECK#1059 INITIALS: DM RECEIVED BY: 5517.95 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS