HomeMy WebLinkAbout06-18-10a ...,,_
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BUREk1~rOF IND~VI~UAL TAXES
INHER,~~NCE TAX DiV~&;~ON
PO BOX 8601 '
HARRISBURG PA 171'8-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
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~` ~ HLAND CT
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MEC~~ SBURG PA 17050
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DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09)
DATE 06-08-2010
ESTATE OF HAYMAKER SR DOUGLAS B
DATE OF DEATH 02-15-2009
FILE NUMBER 21 09-0875
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-07-2010
(See reverse side under Objections)
Amount Remitted ~~ , r}~,..
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
COMMONWEALTH 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
REV-1162 EX(11-96)
NO. CD 012942
HAYMAKER MARY H
823 HIGHLAND CT
MECHANICSBURG, PA 17050
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ESTATE INFORMATION: SSN: 083-12-2477
FILE NUMBER: 2109-0875
DECEDENT NAME: HAYMAKER DOUGLAS BLAXL
DATE OF PAYMENT: 06/ 18/2010
POSTMARK DATE: 06/ 1 7/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 02/ 1 5/2009
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 573.02
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TOTAL AMOUNT PAID:
573.02
CHECK# 3310
INITIALS: DM
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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